Organization Active NPI

Robyn Krugman, LCSW

  • Clinical Social Worker
  • Scotch Plains, NJ
National Provider Identifier
1053972299
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ROBYN KRUGMAN, LCSW
Practice address
551 Park Ave Ste 5
Scotch Plains, NJ 07076-1768
Phone
(410) 963-0657
NPI assigned
Jun 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Authorized official

Name
Robyn Krugman, LCSWNPI 1417103201
Title
Clinical Social Worker
Phone
(410) 963-0657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

551 Park Ave Ste 5
Scotch Plains, NJ 07076-1768

Mailing address

209 Burns Way
Fanwood, NJ 07023-1607
Phone (410) 963-0657

Other identifiers 1

IdentifierTypeStateIssuer
1417103201MedicaidNJ

National Provider Directory

National Provider Directory

Locations

551 Park Ave
Ste 5
Scotch Plains, NJ 07076
Phone (410) 963-0657

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659484800000",
    "number": "1053972299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 BURNS WAY",
            "city": "FANWOOD",
            "state": "NJ",
            "postal_code": "070231607",
            "telephone_number": "410-963-0657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "551 PARK AVE STE 5",
            "city": "SCOTCH PLAINS",
            "state": "NJ",
            "postal_code": "070761768",
            "telephone_number": "410-963-0657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBYN KRUGMAN, LCSW",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A",
        "authorized_official_last_name": "KRUGMAN",
        "authorized_official_first_name": "ROBYN",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "410-963-0657",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417103201",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scotch Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 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.