Active NPI
Angela Koza
- Social Worker
- Paramus, NJ
National Provider Identifier
1003640780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06798100
- Practice address
- 4 Forest Ave Ste 201
Paramus, NJ 07652-5246 - Phone
- (888) 224-7312
- NPI assigned
- Aug 27, 2024
- Sex
- Female
- Sole proprietor
- No
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 | 44SL06798100 | NJ | Primary |
Addresses
Primary practice location
4 Forest Ave Ste 201
Paramus, NJ 07652-5246
Mailing address
PO Box 121
Tappan, NY 10983-0121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250826003368 | NJ | Practitioner - Clinical Social Worker | 2668972340 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Forge Medical Group, LLC
Practice addresses (Care Compare)
1500 Pleasant Valley Way
Suite 305
West Orange, NJ 07052-2956
Phone (862) 658-6700
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06798100 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forge Medical Group, LLC | Current | Accepting new patients | |
| Forge Medical Group, LLC | Current | Accepting new patients |
Locations
1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700
10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- White Plains, NY
- NPI 1811561855
-
- Psychiatry Physician
- Greensburg, PA
- NPI 1578289252
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1003640780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 121",
"city": "TAPPAN",
"state": "NY",
"postal_code": "109830121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FOREST AVE STE 201",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525246",
"telephone_number": "888-224-7312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOZA",
"first_name": "ANGELA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06798100",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.