Active NPI
Joseph M Tiner, CSW
- Social Worker
- Summit, NJ
National Provider Identifier
1144432113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 99 Beauvoir Ave
Summit, NJ 07901-3533 - Phone
- (908) 522-3586
- Fax
- (908) 522-5750
- NPI assigned
- May 4, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | NJ | Primary |
Addresses
Primary practice location
99 Beauvoir Ave
Summit, NJ 07901-3533
Mailing address
880 Kennedy Blvd
Bayonne, NJ 07002-5809
Phone (201) 455-5035
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SW0521500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1144432113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "880 KENNEDY BLVD",
"city": "BAYONNE",
"state": "NJ",
"postal_code": "070025809",
"telephone_number": "201-455-5035"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "99 BEAUVOIR AVE",
"city": "SUMMIT",
"state": "NJ",
"postal_code": "079013533",
"telephone_number": "908-522-3586",
"fax_number": "908-522-5750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINER",
"first_name": "JOSEPH",
"middle_name": "M",
"credential": "CSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Summit, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.