Active NPI
Jessica Puglise, LSW
- Social Worker
- Montville, NJ
National Provider Identifier
1003653510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06858200
- Practice address
- 390 Main Rd Ste 201
Montville, NJ 07045-8960 - Phone
- (973) 434-4270
- NPI assigned
- Jul 11, 2024
- Sex
- Female
- 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 | 44SL06858200 | NJ | Primary |
Addresses
Primary practice location
390 Main Rd Ste 201
Montville, NJ 07045-8960
Mailing address
49 Valley Rd
Butler, NJ 07405-1717
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 |
|---|---|---|---|
| 44SL06858200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1720656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1003653510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 VALLEY RD",
"city": "BUTLER",
"state": "NJ",
"postal_code": "074051717"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "390 MAIN RD STE 201",
"city": "MONTVILLE",
"state": "NJ",
"postal_code": "070458960",
"telephone_number": "973-434-4270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUGLISE",
"first_name": "JESSICA",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-11",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06858200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montville, NJ
- Primary Care Partners, LLC
- Primary Care Partners, LLC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Professional Orthopedic and Sports Physical Therapy, P.C.
- Justin David Rabinowitz, D.C.
- Lindsay Ravallese, OTR/L
- Mary Jo Reid, LCSW
- Titus Jeffrey Ridgway
- Samantha Rose Rogers, LAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.