Individual provider Active NPI

Moshe Judowitz

  • Social Worker
  • Lakewood, NJ
National Provider Identifier
1003560319
Registry record updated Feb 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06581700 Issued in NJ
Practice address
701 Cross St
Lakewood, NJ 08701-4029
Phone
(732) 961-9147
NPI assigned
Feb 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06581700 NJ Primary

Addresses

Primary practice location

701 Cross St
Lakewood, NJ 08701-4029

Mailing address

226 Coles Way
Lakewood, NJ 08701-4888
Phone (732) 961-9147

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SL06581700NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1644019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644019200000",
    "number": "1003560319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "226 COLES WAY",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014888",
            "telephone_number": "732-961-9147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 CROSS ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087014029",
            "telephone_number": "732-961-9147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDOWITZ",
        "first_name": "MOSHE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-02-05",
        "last_updated": "2022-02-05",
        "certification_date": "2022-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06581700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2022; 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.