Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jonathan Macciocca, CPRS

Individual provider Peer Specialist · NPI 1053168195

Jonathan Macciocca, CPRS is a Peer Specialist in Lawrence, New Jersey. Licensed in New Jersey. Registered with an NPI since 2024.

Licensed in
NJ
In the registry since
2024

Practice location Address checks out

1931 Brunswick Ave
Lawrence, NJ 08648-4603
Phone: (609) 571-2659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X · Licence 569 (NJ)

Record details

NPI number1053168195
Entity typeIndividual (Type 1)
GenderMale
Credentials CPRS
Sole proprietorNo
NPI enumeratedMay 6, 2024
Last updated in NPPESMay 6, 2024
Certification dateMay 6, 2024
Mailing address313 Glenn Ave, Lawrence, NJ 08648-3244

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