Cynthia Ann Puchammer, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05307500 Issued in NJ

Practice address

31 Carsam St
Fanwood, NJ 07023-1609

Phone

(908) 889-0714

Fax

(732) 549-2695

NPI assigned

Sep 5, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Elderology, LLC

  • Clinical Social Worker
  • Fanwood, NJ
  • NPI 1790931269
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1220572800000",
    "number": "1053569756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 CARSAM ST",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231609",
            "telephone_number": "908-889-0714",
            "fax_number": "732-549-2695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 CARSAM ST",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231609",
            "telephone_number": "908-889-0714",
            "fax_number": "732-549-2695"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUCHAMMER",
        "first_name": "CYNTHIA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-05",
        "last_updated": "2008-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC05307500",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05307500",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "44SC05307500",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Petitjean, MS PT
• Vincenza Piscitelli, PSYD
• Roseann Pizzi, PSYD
• Primary Care Partners, LLC (Advanced Primary Care- Primary Care Partners Affiliate)
• Pristine Rehabilitation
• Caroline Raba, LPC
• Rabbinic Center for Research and Counseling
• Lisa Ann Radil
• Lila K Redmount, MSW, LCSW
• Megan Lizette Rodriguez

• Clinical Social Worker in Fanwood, NJ
• Providers in Fanwood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.