Individual provider Active NPI

Nancy Anne Osgoodby, M.S.W.

  • Clinical Social Worker
  • Paramus, NJ
National Provider Identifier
1003904533
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00294900 Issued in NJ
Practice address
64 S Farview Ave
Paramus, NJ 07652-2630
Phone
(201) 226-1110
Fax
(201) 226-1121
NPI assigned
Oct 10, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC00294900 NJ Primary

Addresses

Primary practice location

64 S Farview Ave
Paramus, NJ 07652-2630

Mailing address

PO Box 8010
Paramus, NJ 07653-8010
Phone (201) 226-1110

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050505000022 NJ Practitioner - Clinical Social Worker 6103866595 Reassigns benefits to 1 organization
Practice locations: Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Montclair Hospital LLCGroup PAC ID 7810092814, 21 clinicians

Practice addresses (Care Compare)

1 Bay Ave
Montclair, NJ 07042-4837
Phone (973) 429-6813

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.4 of 100Reported as group
Quality
94.62
Promoting interoperability
100
Improvement activities
40
Cost
70.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC00294900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montclair Hospital LLC CurrentSince Nov 1, 2009 Accepting new patients
Montclair Hospital LLC CurrentSince Nov 1, 2009 Accepting new patients
Montclair Hospital LLC Past Accepting new patients

Locations

1 Bay Ave
Montclair, NJ 07042
Phone (973) 429-6100

1 Bay Ave
Ste 4
Montclair, NJ 07042
Phone (973) 259-3505

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1003904533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8010",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076538010",
            "telephone_number": "201-226-1110",
            "fax_number": "201-226-1121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 S FARVIEW AVE",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522630",
            "telephone_number": "201-226-1110",
            "fax_number": "201-226-1121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSGOODBY",
        "first_name": "NANCY",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00294900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.