Individual provider Active NPI

Sara Endy

  • Clinical Social Worker
  • Hoboken, NJ
National Provider Identifier
1114524121
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Oct 2, 2020

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 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

IdentifierTypeStateIssuer
1821392473MedicaidNJ

Electronic endpoints 1

TypeEndpointUseAffiliation
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

OrganizationSpecialtyStatusNew patients
Hudson River Care and Counseling, LLC Clinical CurrentSince Oct 4, 2020 Accepting new patients
Renewing Minds Past Accepting new patients
Hudson River Care and Counseling, LLC. Clinical PastSince Oct 4, 2020 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.

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.

Verify at the official NPI Registry.