Organization Active NPI

Social Work on the Go

  • Community/Behavioral Health Agency
  • Hamilton, NJ
National Provider Identifier
1124382502
Registry record updated Apr 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
0400500914 Issued in NJ
Legal business name
SOCIAL WORK ON THE GO
Practice address
3715 E State Street Ext
Hamilton, NJ 08619-2447
Phone
(973) 280-5988
NPI assigned
Jun 29, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2014

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

Authorized official

Name
Raye-Ann QuarcoopomeNPI 1043574510
Title
Owner/Administrator
Phone
(973) 280-5988

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 0400500914 NJ Primary

Addresses

Primary practice location

3715 E State Street Ext
Hamilton, NJ 08619-2447

Mailing address

PO Box 2883
Hamilton, NJ 08690-0383
Phone (973) 280-5988

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230510000734 NJ Part B Supplier - Clinic/Group Practice 7911154463 Receives reassigned benefits from 1 practitioner
Practice locations: Hamilton, NJ

National Provider Directory

National Provider Directory

Locations

3715 E State Street Ext
Hamilton, NJ 08619
Phone (973) 280-5988

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398124800000",
    "number": "1124382502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2883",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086900383",
            "telephone_number": "973-280-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3715 E STATE STREET EXT",
            "city": "HAMILTON",
            "state": "NJ",
            "postal_code": "086192447",
            "telephone_number": "973-280-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCIAL WORK ON THE GO",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2014-04-22",
        "status": "A",
        "authorized_official_last_name": "QUARCOOPOME",
        "authorized_official_first_name": "RAYE-ANN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "973-280-5988"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NJ",
            "license": "0400500914",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.