Active NPIIndividual providerSole proprietor

Samuel Ajala

Counselor, Mental Health in Linden, New Jersey

NPI Number1760084610
Practice location
1112 Monmouth Ave, Linden, NJ 07036-2022
Fax
—
Last updated
November 14, 2020

Samuel Ajala is a Counselor, Mental Health based in Linden, NJ. Samuel Ajala practices in Linden, NJ. The NPI Number for Samuel Ajala is 1760084610. The current practice location address for Samuel Ajala is 1112 Monmouth Ave, Linden, NJ 07036-2022 and can be reached out via phone at 862-888-3993.

Provider Profile Details

NPI Number
1760084610
Provider Name
Samuel Ajala
Provider Entity Type
Individual
Gender
Male
Address
1112 Monmouth Ave, Linden, NJ 07036-2022
Phone Number
862-888-3993
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
Yes
Provider Enumeration Date
November 14, 2020
Last Update Date
November 14, 2020
Certification Date
November 14, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
1112 Monmouth Ave
Linden, NJ 07036-2022
City
Linden
Zip
07036-2022
Phone Number
862-888-3993
Linden, NJ 07036Get directions →

Provider Business Mailing Address Details

Address
1112 Monmouth Ave
Linden, NJ 07036-2022
City
Linden
State
NJ
Zip
07036-2022
Phone Number
862-888-3993

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Samuel Ajala?

The NPI number of Samuel Ajala is 1760084610. It was assigned on November 14, 2020 and is currently active in the NPPES registry.

What is the specialty of Samuel Ajala?

Samuel Ajala is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Samuel Ajala practice?

The practice location is 1112 Monmouth Ave, Linden, NJ 07036-2022. The office can be reached at 862-888-3993 (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 1760084610 directly on the NPPES registry website.

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