Individual provider Active NPI

Jordan Lynn Indyk

  • Clinical Social Worker
  • Woodbridge, NJ
National Provider Identifier
1144066994
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SL06745100 Issued in NJ
Practice address
48 Seymour Ave
Woodbridge, NJ 07095-2407
Phone
(908) 698-3574
NPI assigned
Jul 2, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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 44SL06745100 NJ Primary

Addresses

Primary practice location

48 Seymour Ave
Woodbridge, NJ 07095-2407

Mailing address

48 Seymour Ave
Woodbridge, NJ 07095-2407
Phone (908) 698-3574

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
I20241207000083 NJ Practitioner - Clinical Social Worker 6103352620 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JLS Medical PCGroup PAC ID 7719342005, 53 clinicians

Practice addresses (Care Compare)

550 Broad St
Suite 606
Newark, NJ 07102-4537
Phone (201) 822-1161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL06745100NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JLS Medical PC CurrentSince Nov 20, 2024 Accepting new patients
Bancroft, a New Jersey Nonprofit Corporation PastSince Nov 20, 2024 Accepting new patients

Locations

550 Broad St
Ste 606
Newark, NJ 07102
Phone (425) 458-8525

Organizations & group practices 2

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": "1719878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765497600000",
    "number": "1144066994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 SEYMOUR AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952407",
            "telephone_number": "908-698-3574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 SEYMOUR AVE",
            "city": "WOODBRIDGE",
            "state": "NJ",
            "postal_code": "070952407",
            "telephone_number": "908-698-3574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDYK",
        "first_name": "JORDAN",
        "middle_name": "LYNN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-02",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06745100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, NJ

Sources for this page

Verify at the official NPI Registry.