House of SDW Enterprises

Primary specialty

Supports Brokerage AgencyTaxonomy code 251X00000X

Legal business name

HOUSE OF SDW ENTERPRISES

Doing business as

SDW Support Services

Practice address

400 Esplanade Apt 61
Hackensack, NJ 07601-1420

Phone

(201) 983-2676

NPI assigned

Aug 31, 2024

Organization subpart

Yes

Parent organization

HOUSE OF SDW ENTERPRISESAs reported in NPPES

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

Authorized official

Name

Tisha Monique WilliamsNPI 1114866191

Title

Executive Director

Phone

(201) 983-2676

Specialties & licenses 1

Addresses

Other names 1

• SDW Support Services Doing business as

Part of

House of SDW Enterprises

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tisha M Williams

  • Counselor
  • Hackensack, NJ
  • NPI 1114866191
  NPD Authorized official

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

{
    "created_epoch": "1725062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726099200000",
    "number": "1235963190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 ESPLANADE APT 61",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011420",
            "telephone_number": "201-983-2676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 ESPLANADE APT 61",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076011420",
            "telephone_number": "201-983-2676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOUSE OF SDW ENTERPRISES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HOUSE OF SDW ENTERPRISES",
        "enumeration_date": "2024-08-31",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TISHA",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "201-983-2676"
    },
    "taxonomies": [
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SDW Support Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nina Mae Horodowicz, PA
• Benjamin Horowitz, MD
• Katie Horvitz, NP
• Hospitalist Medicine Physicians of New Jersey -TCG, PC
• Zahra R Hosseini, DMD
• Housecalls for the Homebound Medicine NJ PC (Housecalls for the Homebound)
• Nicholas Howard, MD
• Emily Ruth Howell, D.O.
• Melanie Hamilton Howell, M.D.
• HRH Hackensack Surgery Center LLC

• Supports Brokerage Agency in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Supports Brokerage Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.