Individual provider Active NPI

Sheyla Riaz, LCSW

  • Clinical Social Worker
  • Newark, NJ
National Provider Identifier
1043443088
Registry record updated Apr 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05491400 Issued in NJ
Practice address
58 Freeman St
Newark, NJ 07105-4005
Phone
(973) 639-6629
NPI assigned
Aug 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SL05564900 NJ
Clinical Social Worker 1041C0700X 44SC05491400 NJ Primary

Addresses

Primary practice location

58 Freeman St
Newark, NJ 07105-4005

Mailing address

58 Freeman Street
Newark, NJ 07105-4005
Phone (973) 639-6629

Other practice location 1

550 Broad St Ste 606
Newark, NJ 07102-4537
Phone (201) 822-1161

Other identifiers 1

IdentifierTypeStateIssuer
0897345MedicaidNJ

Other names 1

  • Ms. Sheyla Mejias Other name

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
I20140429001666 NJ Practitioner - Clinical Social Worker 9032342993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05491400NJMDClinical Social Worker
44SL05564900NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC CurrentSince May 9, 2023 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince May 9, 2023 Accepting new patients

Locations

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1251158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1043443088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 FREEMAN STREET",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071054005",
            "telephone_number": "973-639-6629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 FREEMAN ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071054005",
            "telephone_number": "973-639-6629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 Broad St Ste 606",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071024537",
            "country_code": "US",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIAZ",
        "first_name": "SHEYLA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-25",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL05564900",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05491400",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0897345",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHEYLA",
            "last_name": "MEJIAS",
            "prefix": "MS.",
            "credential": "LSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Newark, NJ

Sources for this page

Verify at the official NPI Registry.