Individual provider Active NPI

Joshua Cervone

  • Clinical Social Worker
  • Galloway, NJ
National Provider Identifier
1194990127
Registry record updated Jan 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05708200 Issued in NJ
Practice address
309 S New York Rd Ste 6
Galloway, NJ 08205-6024
Phone
(609) 364-0008
Fax
(609) 236-7493
NPI assigned
Apr 30, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2021

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 44SC05708200 NJ Primary

Addresses

Primary practice location

309 S New York Rd Ste 6
Galloway, NJ 08205-6024

Mailing address

428 S 6TH Ave
Galloway, NJ 08205-9576
Phone (609) 364-0008

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05708200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
JRC Counseling LLC Clinical CurrentSince May 25, 2021 Accepting new patients

Locations

309 S New York Rd
Ste 6
Galloway, NJ 08205
Phone (609) 350-5826

Organizations & group practices 1

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": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1194990127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 S 6TH AVE",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082059576",
            "telephone_number": "609-364-0008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S NEW YORK RD STE 6",
            "city": "GALLOWAY",
            "state": "NJ",
            "postal_code": "082056024",
            "telephone_number": "609-364-0008",
            "fax_number": "609-236-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERVONE",
        "first_name": "JOSHUA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05708200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galloway, NJ

Sources for this page

Verify at the official NPI Registry.