| Jason Zagaro, | |
|
312 Applegarth Rd, Monroe Township, NJ 08831-5347 | |
| (773) 308-5030 | |
| Not Available |
| Full Name | Jason Zagaro |
|---|---|
| Gender | Male |
| Speciality | Counselor - Mental Health |
| Location | 312 Applegarth Rd, Monroe Township, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760255160 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 37AC00757200 (New Jersey) | Primary |
| Entity Name | Mental Health Specialty Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801472634 PECOS PAC ID: 8921466228 Enrollment ID: O20240926003314 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Zagaro, 458 Deuce Dr, Wall Township, NJ 07719-9483 Ph: (773) 308-5030 | Jason Zagaro, 312 Applegarth Rd, Monroe Township, NJ 08831-5347 Ph: (773) 308-5030 |
Brian Rader, M.S, NCC, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Applegarth Rd Ste 200, Monroe Township, NJ 08831 Phone: 732-655-4239 | |
Ahna Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Applegarth Rd, Monroe Township, NJ 08831 Phone: 609-642-6118 | |
Ms. Kataura Toi Washington-simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1148 Morning Glory Dr, Monroe Township, NJ 08831 Phone: 646-526-3224 | |
Laura Dicarlo, LAC Counselor Medicare: Medicare Enrolled Practice Location: 312 Applegarth Rd Ste 200, Monroe Township, NJ 08831 Phone: 732-655-4239 | |
Grishma Patel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 24 Larkspur Ln, Monroe Township, NJ 08831 Phone: 267-418-9135 | |
Ms. Ellen Brody, LAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 312 Applegarth Rd, Monroe Township, NJ 08831 Phone: 732-655-4239 Fax: 732-444-3120 |