Avicenna Medical Group, LLC
Counselor, Mental Health in West Orange, NJ. Organization (NPI-2).
NPI number1194067959
StatusActive
Last updated in NPPESMar 22, 2013
Details
- NPI
- 1194067959
- Entity type
- Organization (NPI-2)
- Legal business name
- Avicenna Medical Group, LLC
- Organization subpart
- No
- Enumeration date
- Mar 20, 2013
- Last updated
- Mar 22, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 25MB07627000 | NJ | Yes |
Practice location
414 Eagle Rock AveSuite 307
West Orange, NJ 07052-4224
Phone 646-464-3110
Mailing address
414 Eagle Rock AveSuite 307
West Orange, NJ 07052-4224
Phone 646-464-3110
Authorized official
Fadi Samaan
Manager
6464643110
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Mental Health Counselor providers in West Orange, NJ
- Barbara C. AlbenbergNPI 1538465315
- Meghan Marie ArminasNPI 1265243281
- Diane AshouriNPI 1710666185
- Associates In Psychiatry Of North Jersey, LLCNPI 1700986189
- Mark A. Blaustein, MA, EDS, LMFTNPI 1952420374
- Virna Brandofino, LACNPI 1891555876
- Nataliya Braun, LSWNPI 1902634355
- Allyson BrinsonNPI 1467903542
- Stacy CesarNPI 1720547375
- Chelsea Alban Counseling, LLCNPI 1558284646
All 45 Mental Health Counselor providers in West Orange · All 2,010 providers in West Orange
Checking a whole list?
Paste a list of NPIs and get status, record, Medicare enrollment and OIG exclusion for each one. 100 free a day, then from $5 for 5,000. Useful for credentialing, billing and pharmacy claim checks.