Active NPI
Sara Endy
- Clinical Social Worker
- Hoboken, NJ
National Provider Identifier
1114524121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 63A 8TH St
Hoboken, NJ 07030-5056 - Phone
- (201) 541-8600
- Fax
- (201) 541-8100
- NPI assigned
- Oct 2, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
63A 8TH St
Hoboken, NJ 07030-5056
Mailing address
63A 8TH St
Hoboken, NJ 07030-5056
Phone (201) 541-8600
Other practice location 1
75 Grand Ave Fl 1
Englewood, NJ 07631-3522
Phone (201) 541-8600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821392473 | Medicaid | NJ |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | http://www.hudsonrivercareandcounseling.com/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson River Care and Counseling, LLC | Clinical | Current | Accepting new patients |
| Renewing Minds | Past | Accepting new patients | |
| Hudson River Care and Counseling, LLC. | Clinical | Past | Accepting new patients |
Locations
75 Grand Ave
Ste 1
Englewood, NJ 07631
Phone (201) 541-8600
Organizations & group practices 3
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.
-
- Clinical Social Worker
- Englewood, NJ
- NPI 1821392473
-
- Clinical Social Worker
- Hoboken, NJ
- NPI 1598115966
-
- Mental Health Counselor
- Woodbridge, NJ
- NPI 1720801806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601596800000",
"number": "1114524121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63A 8TH ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305056",
"telephone_number": "201-541-8600",
"fax_number": "201-541-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63A 8TH ST",
"city": "HOBOKEN",
"state": "NJ",
"postal_code": "070305056",
"telephone_number": "201-541-8600",
"fax_number": "201-541-8100"
}
],
"practiceLocations": [
{
"address_1": "75 Grand Ave Fl 1",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "NJ",
"postal_code": "076313522",
"country_code": "US",
"telephone_number": "201-541-8600",
"fax_number": "201-541-8100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENDY",
"first_name": "SARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-02",
"last_updated": "2020-10-02",
"certification_date": "2020-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1821392473",
"state": "NJ"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "http://www.hudsonrivercareandcounseling.com/",
"affiliation": "N",
"endpointDescription": "Information page",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Information",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Information",
"address_1": "63A 8th St",
"city": "Hoboken",
"state": "NJ",
"country_code": "US",
"postal_code": "070305056",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Hoboken, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.