Individual provider Active NPI

Diana Miller Eckhaus, MSW

  • Clinical Social Worker
  • Marlboro, NJ
National Provider Identifier
1073673620
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04519700 Issued in NJ
Practice address
45 St Lawrence Way
Marlboro, NJ 07746-1271
Phone
(732) 536-4098
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04519700 NJ Primary

Addresses

Primary practice location

45 St Lawrence Way
Marlboro, NJ 07746-1271

Mailing address

45 St Lawrence Way
Marlboro, NJ 07746-1271
Phone (732) 536-4098

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
I20120307000108 NJ Practitioner - Clinical Social Worker 3577722834 Practice locations: Marlboro, NJ; Middletown, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

620 State Hwy 35 S
Brighton Gardens of Middletown
Middletown, NJ 07748-4224
Phone (732) 275-0790

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04519700NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073673620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE WAY",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461271",
            "telephone_number": "732-536-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 ST LAWRENCE WAY",
            "city": "MARLBORO",
            "state": "NJ",
            "postal_code": "077461271",
            "telephone_number": "732-536-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ECKHAUS",
        "first_name": "DIANA",
        "middle_name": "MILLER",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04519700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlboro, NJ

Sources for this page

Verify at the official NPI Registry.