Mark Degrandis
Counselor, Mental Health in Matawan, New Jersey
1194473348- Practice location
- 166 Main St, Matawan, NJ 07747-3104
- Phone
- 732-290-9040
- Fax
- —
- Last updated
- March 16, 2022
Mark Degrandis is a Counselor, Mental Health based in Matawan, NJ. Mark Degrandis practices in Matawan, NJ. The NPI Number for Mark Degrandis is 1194473348. The current practice location address for Mark Degrandis is 166 Main St, Matawan, NJ 07747-3104 and can be reached out via phone at 732-290-9040.
Provider Profile Details
- NPI Number
- 1194473348
- Provider Name
- Mark Degrandis
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 166 Main St, Matawan, NJ 07747-3104
- Phone Number
- 732-290-9040
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- March 16, 2022
- Last Update Date
- March 16, 2022
- Certification Date
- March 16, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 166 Main St
Matawan, NJ 07747-3104 - City
- Matawan
- State
- New Jersey
- Zip
- 07747-3104
- Phone Number
- 732-290-9040
Provider Business Mailing Address Details
- Address
- 166 Main St
Matawan, NJ 07747-3104 - City
- Matawan
- State
- NJ
- Zip
- 07747-3104
License Information
- Taxonomy
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mark Degrandis?
The NPI number of Mark Degrandis is 1194473348. It was assigned on March 16, 2022 and is currently active in the NPPES registry.
What is the specialty of Mark Degrandis?
Mark Degrandis is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).
Where does Mark Degrandis practice?
The practice location is 166 Main St, Matawan, NJ 07747-3104. The office can be reached at 732-290-9040 (phone).
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 1194473348 directly on the NPPES registry website.