Romy Martin Jagid
Individual provider Active NPI Clinical Social Worker · Demarest, NJ
NPI 1154067940 · NPPES record last updated May 5, 2022
Key facts
- NPI
- 1154067940
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 44SC06081400 (NJ)
- Practice address
- 304 Hardenburgh Avenue
Demarest, NJ 07627 - Phone
- (201) 739-9696
- NPI assigned
- May 5, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Jewish Family and Childrens Services of Northern New Jersey Inc
Practice addresses (Care Compare)
1485 Teaneck Rd
Teaneck, NJ 07666-3626
Phone (201) 837-9090
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230302002366 | NJ | Practitioner - Clinical Social Worker | 9537532098 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06081400 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jewish Family & Children'S Services of Northern New Jersey, Inc. | Clinical | Current |
Accepting new patients |
Locations
1485 Teaneck Rd
Teaneck, NJ 07666
Phone (201) 837-9090
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06081400 | NJ | Yes |
Addresses
Primary practice location
304 Hardenburgh Avenue
Demarest, NJ 07627
Mailing address
304 Hardenburgh Avenue
Demarest, NJ 07627
Phone (201) 739-9696
Other providers in Demarest, NJ
- Janna Geller
- Michele Goldfine
- Bing Gong
- Sherina Kishin Idnani
- Ikpt, LLC
- Lindsay Brooke Kestenbaum
- Ruth B Klebansky
- Valerie Klebansky
- Knickerbocker Chiropractic Centre
- Seungyi Sophia Lee
All providers in Demarest, NJ · Clinical Social Worker in New Jersey
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 5, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.