Active NPI
Doreen Marie Pontius-Molos, L.C.S.W.
- Clinical Social Worker
- Dumont, NJ
National Provider Identifier
1245453026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05534700
- Practice address
- 2 Park Ave
Dumont, NJ 07628-3004 - Phone
- (201) 385-4400
- Fax
- (201) 385-9689
- NPI assigned
- Apr 10, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05534700 | NJ | Primary |
Addresses
Primary practice location
2 Park Ave
Dumont, NJ 07628-3004
Mailing address
841 Palmer Ave
Maywood, NJ 07607-1719
Phone (201) 556-1752
Other practice location 1
1485 Teaneck Rd Fl 2
Teaneck, NJ 07666-3626
Phone (201) 837-9090
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Higher Ground Behavioral Health LLC | Current | Accepting new patients |
Locations
20 E Taunton Rd
Ste 540
Berlin, NJ 08009
Phone (856) 809-2940
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.
-
- Professional Counselor
- Voorhees, NJ
- NPI 1962114389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1245453026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "841 PALMER AVE",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071719",
"telephone_number": "201-556-1752"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PARK AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076283004",
"telephone_number": "201-385-4400",
"fax_number": "201-385-9689"
}
],
"practiceLocations": [
{
"address_1": "1485 Teaneck Rd Fl 2",
"address_purpose": "LOCATION",
"city": "Teaneck",
"state": "NJ",
"postal_code": "076663626",
"country_code": "US",
"telephone_number": "201-837-9090",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PONTIUS-MOLOS",
"first_name": "DOREEN",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "L.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-10",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05534700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dumont, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.