Healthcare Provider Details

I. General information

NPI: 1700797552
Provider Name (Legal Business Name): DENISE PINON LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2026
Last Update Date: 09/12/2026
Certification Date: 09/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

285 AYCRIGG AVE APT 3I
PASSAIC NJ
07055-3718
US

IV. Provider business mailing address

285 AYCRIGG AVE APT 3I
PASSAIC NJ
07055-3718
US

V. Phone/Fax

Practice location:
  • Phone: 201-919-7647
  • Fax:
Mailing address:
  • Phone: 201-919-7647
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC01168600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: