Active NPIIndividual providerSole proprietor

Eleanor Fortuna

Counselor, Addiction (Substance Use Disorder) in Ocean Gate, New Jersey

NPI Number1013457589
Practice location
326 E Lakewood Ave, Ocean Gate, NJ 08740-1336
Fax
908-928-9367
Last updated
March 3, 2017

Eleanor Fortuna is a Counselor, Addiction (Substance Use Disorder) based in Ocean Gate, NJ. Eleanor Fortuna practices in Ocean Gate, NJ. The NPI Number for Eleanor Fortuna is 1013457589 and holds a License No. 37LC00046500 (NJ). The current practice location address for Eleanor Fortuna is 326 E Lakewood Ave, Ocean Gate, NJ 08740-1336 and can be reached out via phone at 732-232-3137 and via fax at 908-928-9367.

Provider Profile Details

NPI Number
1013457589
Provider Name
Eleanor Fortuna
Provider Entity Type
Individual
Gender
Female
Address
326 E Lakewood Ave, Ocean Gate, NJ 08740-1336
Phone Number
732-232-3137
Fax Number
908-928-9367
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
March 3, 2017
Last Update Date
March 3, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
326 E Lakewood Ave
Ocean Gate, NJ 08740-1336
Zip
08740-1336
Phone Number
732-232-3137
Fax Number
908-928-9367
Ocean Gate, NJ 08740Get directions →

Provider Business Mailing Address Details

Address
Po Box 1274
Ocean Gate, NJ 08740-1274
City
Ocean Gate
State
NJ
Zip
08740-1274
Phone Number
732-232-3137
Fax Number
908-928-9367

License Information

License Number
37LC00046500
License State
NJ
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Eleanor Fortuna?

The NPI number of Eleanor Fortuna is 1013457589. It was assigned on March 3, 2017 and is currently active in the NPPES registry.

What is the specialty of Eleanor Fortuna?

Eleanor Fortuna is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC00046500.

Where does Eleanor Fortuna practice?

The practice location is 326 E Lakewood Ave, Ocean Gate, NJ 08740-1336. The office can be reached at 732-232-3137 (phone) or 908-928-9367 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1013457589 directly on the NPPES registry website.

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