Active NPI
Nicole Potenza
- Social Worker
- Mahwah, NJ
National Provider Identifier
1033947445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL07148800
- Practice address
- 575 Corporate Dr Ste 510
Mahwah, NJ 07430-2330 - Phone
- (201) 824-7600
- NPI assigned
- Jul 25, 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 | 44SL07148800 | NJ | Primary |
Addresses
Primary practice location
575 Corporate Dr Ste 510
Mahwah, NJ 07430-2330
Mailing address
575 Corporate Dr Ste 510
Mahwah, NJ 07430-2330
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 |
|---|---|---|---|
| 44SL07148800 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721865600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721865600000",
"number": "1033947445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "575 CORPORATE DR STE 510",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 CORPORATE DR STE 510",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302330",
"telephone_number": "201-824-7600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POTENZA",
"first_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-07-25",
"last_updated": "2024-07-25",
"certification_date": "2024-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL07148800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mahwah, NJ
- Patient Immediate Care PC
- Karen Dianne Pedersen, OTR
- Kimberly Perez-Lucero
- Bruce J Pines, D.D.S.
- Ryan Marc Pines, DDS
- Practx Medical Solutions, LLC
- Premise Health of New Jersey Medical PC
- Professional Occupational & Physical Therapy, PLLC
- Professional Orthopedic and Sports Physical Therapy of NJ, LLC
- Peter J Raia Jr., RPH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 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.