Provider Demographics
NPI:1225642879
Name:CHOMIK-MARTINO, MONIKA (MS, LAC)
Entity Type:Individual
Prefix:MS
First Name:MONIKA
Middle Name:
Last Name:CHOMIK-MARTINO
Suffix:
Gender:F
Credentials:MS, LAC
Other - Prefix:MRS
Other - First Name:MONIKA
Other - Middle Name:
Other - Last Name:CHOMIK-MARTINO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS, LAC
Mailing Address - Street 1:4 BRIDGE PLAZA DR STE 3
Mailing Address - Street 2:
Mailing Address - City:MANALAPAN
Mailing Address - State:NJ
Mailing Address - Zip Code:07726-1747
Mailing Address - Country:US
Mailing Address - Phone:848-200-5596
Mailing Address - Fax:
Practice Address - Street 1:4 BRIDGE PLAZA DR STE 3
Practice Address - Street 2:
Practice Address - City:MANALAPAN
Practice Address - State:NJ
Practice Address - Zip Code:07726-1747
Practice Address - Country:US
Practice Address - Phone:848-200-5596
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-01
Last Update Date:2023-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJAC-GTL-20-01487101YM0800X
NJ37PC00943900101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health