Active NPIIndividual providerSole proprietor

Edgardo Fernandez, LCADC

Counselor, Addiction (Substance Use Disorder) in Somerset, New Jersey

NPI Number1508614868
Practice location
107 Cedar Grove Ln Ste 103E, Somerset, NJ 08873-4719
Fax
732-289-6009
Last updated
May 10, 2024

Edgardo Fernandez is a Counselor, Addiction (Substance Use Disorder) based in Somerset, NJ. Edgardo Fernandez practices in Somerset, NJ and has the professional credentials of LCADC. The NPI Number for Edgardo Fernandez is 1508614868 and holds a License No. 37LC0162000 (NJ). The current practice location address for Edgardo Fernandez is 107 Cedar Grove Ln Ste 103E, Somerset, NJ 08873-4719 and can be reached out via phone at 732-289-6008 and via fax at 732-289-6009.

Provider Profile Details

NPI Number
1508614868
Provider Name
Edgardo Fernandez
Credential
LCADC
Provider Entity Type
Individual
Gender
Male
Address
107 Cedar Grove Ln Ste 103E, Somerset, NJ 08873-4719
Phone Number
732-289-6008
Fax Number
732-289-6009
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
Yes
Provider Enumeration Date
May 10, 2024
Last Update Date
May 10, 2024
Certification Date
May 10, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
107 Cedar Grove Ln Ste 103E
Somerset, NJ 08873-4719
Zip
08873-4719
Phone Number
732-289-6008
Fax Number
732-289-6009
Somerset, NJ 08873Get directions →

Provider Business Mailing Address Details

Address
127 Hickory Corner RD
East Windsor, NJ 08520-2415
City
East Windsor
State
NJ
Zip
08520-2415
Phone Number
732-690-4616
Fax Number
732-289-6009

License Information

License Number
37LC0162000
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 Edgardo Fernandez, LCADC?

The NPI number of Edgardo Fernandez, LCADC is 1508614868. It was assigned on May 10, 2024 and is currently active in the NPPES registry.

What is the specialty of Edgardo Fernandez, LCADC?

Edgardo Fernandez, LCADC is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in NJ under license number 37LC0162000.

Where does Edgardo Fernandez, LCADC practice?

The practice location is 107 Cedar Grove Ln Ste 103E, Somerset, NJ 08873-4719. The office can be reached at 732-289-6008 (phone) or 732-289-6009 (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 1508614868 directly on the NPPES registry website.

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