Healthcare Provider Details

I. General information

NPI: 1932269974
Provider Name (Legal Business Name): SAM PIROZZI EDD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 MONTEREY DR
WAYNE NJ
07470-6574
US

IV. Provider business mailing address

55 MONTEREY DR
WAYNE NJ
07470-6574
US

V. Phone/Fax

Practice location:
  • Phone: 973-694-5656
  • Fax:
Mailing address:
  • Phone: 973-694-5656
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number37PC00292700
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number37FI00111200
License Number StateNJ
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: