Individual provider · Type 1 NPI
Michael Ponticello
Peer Specialist · Toms River, NJ
NPI number
1275230666
Active
Practice location
2001 Nj 37E
Toms River, NJ 08753
Mailing address
150 Brick Blvd
Brick, NJ 08723-7182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Peer Specialist Primary | 175T00000X | CPRS-50396 (NJ) |
Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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About NPI 1275230666
Michael Ponticello's National Provider Identifier is 1275230666, issued on Feb 15, 2023. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Toms River, NJ. The record was last updated on Feb 15, 2023.