MEDICARE: ADAM EDWARD HOM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	44SL07322500	NJ

General Provider Information

NPI Number	:	1588297519
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADAM EDWARD HOM

Provider Business Mailing Address
First Line	:	96 MILLBURN AVE STE 101
Second Line	:
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1941
Country	:	US
Telephone Number	:	201-632-5554
Fax Number	:

Provider Business Practice Location Address
First Line	:	96 MILLBURN AVE STE 101
Second Line	:
City	:	MILLBURN
State	:	NJ
Zip	:	07041-1941
Country	:	US
Telephone Number	:	201-632-5554
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/18/2020
Last Update Date	:	11/21/2025

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Directions to “ ADAM EDWARD HOM ” Practice Location

Language	Start Address	Practice Location

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