Nicholas Repice, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL06056400 Issued in NJ

Practice address

655 Westfield Ave
Elizabeth, NJ 07208-1325

Phone

(908) 352-8375

NPI assigned

Dec 3, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeway Psychiatry PCGroup PAC ID 6901274844, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19365/brand/1/csg/1/fhir/r4

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.

• Freeway Psychiatry PC

  • Psychiatry Physician
  • North Bergen, NJ
  • NPI 1831819531
  Medicare reassignment Care Compare group NPD
• Keith Golin PHD LLC

  • Clinical Psychologist
  • West Orange, NJ
  • NPI 1487660213
  Medicare reassignment NPD
• Keith Golin PHD LLC

  • Clinical Psychologist
  • Livingston, NJ
  • NPI 1548561053
  NPD
• Neurocognitive Health Associates

  • Clinical Neuropsychologist
  • Englewood, NJ
  • NPI 1972997187
  NPD (past)

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

{
    "created_epoch": "1449100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449100800000",
    "number": "1104291038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 LAFAYETTE AVE",
            "city": "RIDGEFIELD",
            "state": "NJ",
            "postal_code": "076571414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 WESTFIELD AVE",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072081325",
            "telephone_number": "908-352-8375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPICE",
        "first_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-12-03",
        "last_updated": "2015-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06056400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aravinda Reddy, M.D
• Alex Ree
• Alyssa Marcie Reiner, MSW, LSW
• Rekha Sharma MD PA
• Reliance Care Services
• Danna Reyes Herrera, MD
• Jinet Reyes, RPH
• Roland Reyes, CRNA
• Yvette Altagracia Reynoso
• Labib E. Riachi, MD

• Social Worker in Elizabeth, NJ
• Providers in Elizabeth, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.