Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1053168195 Individual Practitioner Male Practitioner

Jonathan Macciocca , CPRS

Peer Specialist • Lawrence, NJ

Professional Overview & Biography Verified Profile Summary

Jonathan Macciocca, CPRS is a registered healthcare professional specializing in Peer Specialist in Lawrence, NJ. Practice services are available at 1931 BRUNSWICK AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1931 Brunswick Ave

Lawrence, NJ 086484603

Telephone 6095712659
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Peer Specialist in Lawrence, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
6 Specialists

Practicing in Lawrence, NJ (401 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2024-05-06
Peer Specialist Primary Specialty

NUCC Taxonomy Code: 175T00000X

State License NJ 569

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1114774239
Marc North , CPRS

Peer Specialist

NPI 1184472615
Stacey Ross , CPRS

Peer Specialist

NPI 1467209379
NPI 1477309813

Bachelor of Science, CPRS

Trina Nixon , CPRS

Peer Specialist

NPI 1972128056

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active May 06, 2024

NPI status registered as active in NPPES database

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Updated Practice Location May 06, 2024

Registered at 1931 BRUNSWICK AVE, LAWRENCE, NJ 086484603 (Tel: 6095712659)

📍
Updated Business Mailing Address May 06, 2024

Registered at 313 GLENN AVE, LAWRENCE, NJ 086483244 (Tel: 6099060988)

👤
Provider Name / Credentials Updated May 06, 2024

Recorded as JONATHAN MACCIOCCA, CPRS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 06, 2024

Peer Specialist (License #569 in NJ)

🟢
Initial NPI Registration & Enumeration May 06, 2024

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1053168195
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 06, 2024
Last Update: May 06, 2024
Sole Proprietor: No

Mailing Address

313 Glenn Ave

Lawrence, NJ 086483244

Phone: 6099060988

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.