Individual provider Active NPI

Menashe East, LSW

  • Clinical Social Worker
  • Randolph, NJ
National Provider Identifier
1114509288
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06447200 Issued in NJ
Practice address
1 Nuko Ter
Randolph, NJ 07869-4105
Phone
(201) 923-1107
NPI assigned
Apr 27, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 44SL06447200 NJ Primary

Addresses

Primary practice location

1 Nuko Ter
Randolph, NJ 07869-4105

Mailing address

1 Nuko Ter
Randolph, NJ 07869-4105
Phone (201) 923-1107

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
I20220621001960 NJ Practitioner - Clinical Social Worker 8426453275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Learning and DDB ProductionsGroup PAC ID 5597143123, 2 clinicians

Practice addresses (Care Compare)

152 Speedwell Ave
Morristown, NJ 07960-8816
Phone (973) 656-3116

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06447200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Learning & DDB Productions CurrentSince Mar 9, 2022 Accepting new patients

Locations

152 Speedwell Ave
Morristown, NJ 07960
Phone (973) 400-9794

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1114509288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NUKO TER",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694105",
            "telephone_number": "201-923-1107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NUKO TER",
            "city": "RANDOLPH",
            "state": "NJ",
            "postal_code": "078694105",
            "telephone_number": "201-923-1107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAST",
        "first_name": "MENASHE",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06447200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Randolph, NJ

Sources for this page

Verify at the official NPI Registry.