Individual provider Active NPI

Christina Athanasatos

  • Clinical Social Worker
  • Ridgewood, NJ
National Provider Identifier
1093144495
Registry record updated Mar 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05335900 Issued in NJ
Practice address
55A E Ridgewood Ave Ste 6
Ridgewood, NJ 07450-3884
Phone
(201) 669-4911
Fax
(201) 540-8104
NPI assigned
Nov 6, 2013
Last updated
Mar 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 27, 2018

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 44SC05335900 NJ Primary

Addresses

Primary practice location

55A E Ridgewood Ave Ste 6
Ridgewood, NJ 07450-3884

Mailing address

55A E Ridgewood Ave Ste 6
Ridgewood, NJ 07450-3884
Phone (201) 669-4911

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
I20180403002193 NJ Practitioner - Clinical Social Worker 2466714449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 A E Ridgewood Ave
Suite 6
Ridgewood, NJ 07450-3884
Phone (201) 669-4911

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Perspectives NJ LLC Clinical CurrentSince Apr 1, 2018 Accepting new patients

Locations

55A E Ridgewood Ave
Ste 6
Ridgewood, NJ 07450
Phone (201) 669-4911

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1383696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522108800000",
    "number": "1093144495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55A E RIDGEWOOD AVE STE 6",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503884",
            "telephone_number": "201-669-4911",
            "fax_number": "201-540-8104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55A E RIDGEWOOD AVE STE 6",
            "city": "RIDGEWOOD",
            "state": "NJ",
            "postal_code": "074503884",
            "telephone_number": "201-669-4911",
            "fax_number": "201-540-8104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATHANASATOS",
        "first_name": "CHRISTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-11-06",
        "last_updated": "2018-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05335900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgewood, NJ

Sources for this page

Verify at the official NPI Registry.