Active NPI
Samuel H Luba, LSW
- Social Worker
- Jersey City, NJ
National Provider Identifier
1003584897
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06591700
- Practice address
- 461 Newark Ave
Jersey City, NJ 07306-1388 - Phone
- (201) 388-5891
- NPI assigned
- Sep 6, 2021
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06591700 | NJ | Primary |
Addresses
Primary practice location
461 Newark Ave
Jersey City, NJ 07306-1388
Mailing address
20 Westminster PL
Old Tappan, NJ 07675-6863
Phone (201) 388-5891
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06591700 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1630886400000",
"number": "1003584897",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 WESTMINSTER PL",
"city": "OLD TAPPAN",
"state": "NJ",
"postal_code": "076756863",
"telephone_number": "201-388-5891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "461 NEWARK AVE",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "073061388",
"telephone_number": "201-388-5891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUBA",
"first_name": "SAMUEL",
"middle_name": "H",
"name_prefix": "Mr.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-09-06",
"last_updated": "2021-09-06",
"certification_date": "2021-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06591700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jersey City, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.