Active NPI
Ella Bolbat
- Social Worker
- Matawan, NJ
National Provider Identifier
1164935458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05756800
- Practice address
- 4122 Route 516
Matawan, NJ 07747-7031 - Phone
- (732) 679-4500
- Fax
- (732) 679-4549
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 44SL05756800 | NJ | Primary |
Addresses
Primary practice location
4122 Route 516
Matawan, NJ 07747-7031
Mailing address
4122 Route 516
Matawan, NJ 07747-7031
Phone (732) 679-4500
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 |
|---|---|---|---|
| 44SL05756800 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510185600000",
"number": "1164935458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4122 ROUTE 516",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077477031",
"telephone_number": "732-679-4500",
"fax_number": "732-679-4549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4122 ROUTE 516",
"city": "MATAWAN",
"state": "NJ",
"postal_code": "077477031",
"telephone_number": "732-679-4500",
"fax_number": "732-679-4549"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOLBAT",
"first_name": "ELLA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2017-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05756800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matawan, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.