Individual provider Active NPI

Mayelin Mercedes Caba Nunez, LSW

  • Social Worker
  • Perth Amboy, NJ
National Provider Identifier
1033868070
Registry record updated Mar 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06774400 Issued in NJ
Practice address
570 Lee St
Perth Amboy, NJ 08861-3053
Phone
(732) 442-1666
NPI assigned
Mar 18, 2022
Last updated
Mar 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 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 44SL06774400 NJ Primary

Addresses

Primary practice location

570 Lee St
Perth Amboy, NJ 08861-3053

Mailing address

134 Longfellow St
Carteret, NJ 07008-2914
Phone (732) 484-6836

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
44SL06774400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Middlesex CurrentSince Dec 15, 2024 Accepting new patients
County of Middlesex PastSince Mar 20, 2022 Accepting new patients

Locations

570 Lee St
Perth Amboy, NJ 08861
Phone (732) 442-1666

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1647561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647561600000",
    "number": "1033868070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 LONGFELLOW ST",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070082914",
            "telephone_number": "732-484-6836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LEE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613053",
            "telephone_number": "732-442-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABA NUNEZ",
        "first_name": "MAYELIN",
        "middle_name": "MERCEDES",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-18",
        "last_updated": "2022-03-18",
        "certification_date": "2022-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06774400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Perth Amboy, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 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.