Individual provider Active NPI

Sharen Leigh Pyne-Weissman, LCSW, LMFT, APN

  • Social Worker
  • Teaneck, NJ
National Provider Identifier
1215939111
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC00033500 Issued in NJ
Practice address
101 Cedar LN
Ste 202
Teaneck, NJ 07666-4417
Phone
(201) 835-3605
Fax
(201) 599-9729
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC00033500 NJ Primary
Marriage & Family Therapist 106H00000X 37F100134000 NJ
Registered Nurse 163W00000X 26N006756900 NJ

Addresses

Primary practice location

101 Cedar LN
Ste 202
Teaneck, NJ 07666-4417

Mailing address

192 Linwood Ave E
Paramus, NJ 07652-3825
Phone (201) 835-3605

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
I20050412001238 NJ Practitioner - Clinical Social Worker 0345287249 Practice locations: Paramus, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

299 Forest Ave
Suite J
Paramus, NJ 07652-5400
Phone (201) 314-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
37F100134000NJMDMarriage & Family Therapist
26N006756900NJMDRegistered Nurse

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1215939111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "192 LINWOOD AVE E",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523825",
            "telephone_number": "201-835-3605",
            "fax_number": "201-599-9729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CEDAR LN",
            "address_2": "STE 202",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076664417",
            "telephone_number": "201-835-3605",
            "fax_number": "201-599-9729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYNE-WEISSMAN",
        "first_name": "SHAREN",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LMFT, APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC00033500",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "37F100134000",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26N006756900",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teaneck, NJ

Sources for this page

Verify at the official NPI Registry.