MR. TIM FREDRIK E. EDQUILAG


Address: 221 Stevens Ave, Jersey City, NJ 07305-2112
Phone: 8623457876

MR. TIM FREDRIK E. EDQUILAG (NPI# 1881060804) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1881060804
Entity Type Individual
Full Name MR. TIM FREDRIK E. EDQUILAG
Credential LPC, NCC
Practice Address 221 Stevens Ave
Jersey City
NJ 07305-2112
Practice Telephone 8623457876
Enumeration Date 2015-08-13
Last Update Date 2015-08-14
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
37PC00527600 NJ Behavioral Health & Social Service Providers

Office Location

Street Address 221 STEVENS AVE
City JERSEY CITY
State NJ
Zip Code 07305-2112

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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1124646914 Sailume Walo-roberts Counselor 123 Town Square Pl Ste 688, Jersey City, NJ 07310-1756 2020-07-08
1487293932 Acj Consultants, Inc. Counselor 1600 Kennedy Blvd, Jersey City, NJ 07305 2020-01-02
1548797756 Comprehensive Counseling Service Counselor 4 Suburbia Ter, Jersey City, NJ 07305-1254 2017-05-18
1245691831 Diane Kathryn Jordan Counselor 156 Neptune Ave, Jersey City, NJ 07305-2508 2016-03-10
1174826259 Silvana Amar Counselor 96 Sherman Place, Jersey City, NJ 07307 2010-12-13
1316173693 Jane Monica Spurrier Counselor 228 1st St, #2b, Jersey City, NJ 07302-2857 2009-06-01
1326236639 Barbara Hines Counselor 517 Manila Ave # 2, Jersey City, NJ 07302-1725 2007-10-11
1649467242 Michele Rovello Visco Counselor 121 Newark Ave Ste 503, Jersey City, NJ 07302-5873 2007-09-27
1043420532 Robert Loffredo Counselor 3040 Kennedy Blvd., Jersey City, NJ 07306 2007-05-23
1730220054 Michael Outwater Counselor 3040 Kennedy Blvd, Jersey City, NJ 07306 2007-02-09
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Competitor

Search similar providers

City JERSEY CITY
Zip Code 07305

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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