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Active NPI 1104716711 Individual Practitioner Male Practitioner

Tajuddin Abdullah

Counselor - Professional • Moorestown, NJ

Professional Overview & Biography Verified Profile Summary

Tajuddin Abdullah is a registered healthcare professional specializing in Counselor - Professional in Moorestown, NJ. Practice services are available at 1221 N CHURCH ST UNIT 106 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1221 N Church St Unit 106

Moorestown, NJ 080571245

Telephone 6092083053
Associated Practice Facility / Clinic
🏢 Main Street Counseling, Llc Facility NPI 1043610140

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Moorestown, NJ

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 25.3 Yrs
State Avg: 15.9 Yrs
Regional Practice Density
39 Specialists

Practicing in Moorestown, NJ (4170 Statewide)

Telehealth Adoption Rate
10.3% 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: 2025-07-06
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License NJ 37PC01159900

Definition to come...

Practice Associates & Co-Workers

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

16 Associated Practitioners
Bri-Anne Gladd , MA, LPC, NCC

Counselor - Professional

NPI 1003542770

Master of Arts, Licensed Professional Counselor, National Certified Counselor

Brian Tamburello , LPC

Counselor - Mental Health

NPI 1033829809

Licensed Professional Counselor

Carol Evangelisto

Counselor - Professional

NPI 1043716236
Patricia Lieberman , MASTERS

Counselor - Professional

NPI 1164068151
Pfeni Flicker , LCSW

Social Worker - Clinical

NPI 1194418764

Licensed Clinical Social Worker

Patricia Heenan , LPC

Counselor - Professional

NPI 1386271435

Licensed Professional Counselor

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active July 07, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location July 07, 2025

Registered at 1221 N CHURCH ST UNIT 106, MOORESTOWN, NJ 080571245 (Tel: 6092083053)

📍
Updated Business Mailing Address July 07, 2025

Registered at 33 W BROADWAY, MAPLE SHADE, NJ 080522302 (Tel: 8562640762)

👤
Provider Name / Credentials Updated July 07, 2025

Recorded as TAJUDDIN ABDULLAH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2025

Counselor (License #37PC01159900 in NJ)

🟢
Initial NPI Registration & Enumeration July 07, 2025

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: 1104716711
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2025
Last Update: July 07, 2025
Sole Proprietor: No

Mailing Address

33 W Broadway

Maple Shade, NJ 080522302

Phone: 8562640762

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.