Tammy Russ-Fishbane, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05407000 Issued in NJ

Practice address

24 N 3Rd Ave
Highland Park, NJ 08904

Phone

(732) 305-0576

NPI assigned

Oct 27, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Center for Geriatric and Family Psychiatry, Inc.

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  • Glastonbury, CT
  • NPI 1831134766
  NPD (past)

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

{
    "created_epoch": "1256601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545782400000",
    "number": "1235465253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 GRAHAM ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042211",
            "telephone_number": "617-777-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 N 3RD AVE",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "08904",
            "telephone_number": "732-305-0576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "132 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "NJ",
            "postal_code": "089042243",
            "country_code": "US",
            "telephone_number": "732-317-4496",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "132 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Highland Park",
            "state": "NJ",
            "postal_code": "089042243",
            "country_code": "US",
            "telephone_number": "732-317-4496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUSS-FISHBANE",
        "first_name": "TAMMY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-27",
        "last_updated": "2018-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05407000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terry Chazan Rothberg, OT
• Elissa Rozov, PH.D.
• Bluma Rubin
• Elliot H Rubin, MD
• Michelle Rullo, MSW, LSW
• Anurita Sadhu
• Ivan Saiff, RPH
• Saul Salkin, LCSW
• Daniel Sambat, MSW, LSW
• Jennifer Sanchez, CCC-SLP

• Clinical Social Worker in Highland Park, NJ
• Providers in Highland Park, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.