Jasmine Owarish-Gross

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05854200 Issued in NJ

Practice address

82 Woodland Rd Apt A2
Short Hills, NJ 07078-2421

Phone

(551) 655-8290

NPI assigned

Sep 30, 2019

Last updated

Jan 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1003457177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 WOODLAND RD APT A2",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 WOODLAND RD APT A2",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070782421",
            "telephone_number": "551-655-8290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OWARISH-GROSS",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-30",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "44SC05854200",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05854200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ifeoma Nwafor, APN, PMHNP-BC
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• Christopher Joseph Otto, RPH.
• Grace Onozare Oyebanji
• Palmtree Medical Care LLC
• Puja Trivedi Parikh, LCSW, LBA, BCBA
• Park Road Consulting LLC (NA)
• Helen Song Park, RPH

• Clinical Social Worker in Short Hills, NJ
• Providers in Short Hills, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.