Kristyn Tessa-Marie Verderosa, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05522500 Issued in NJ

Practice address

100 Metroplex Dr
Metroplex Corporate Center,Suite 200
Edison, NJ 08817-2684

Phone

(732) 235-8400

NPI assigned

Dec 3, 2013

Last updated

Dec 20, 2013By the provider in NPPES

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

Other identifiers 1

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, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Cherry Hill, NJ
  • NPI 1891956298
  Medicare reassignment NPD
• Rutgers Health - Behavioral Health

  • Psychiatry Physician
  • Piscataway, NJ
  • NPI 1144267337
  NPD

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1245661131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 METROPLEX DR",
            "address_2": "METROPLEX CORPORATE CENTER,SUITE 200",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172684",
            "telephone_number": "732-235-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 METROPLEX DR",
            "address_2": "METROPLEX CORPORATE CENTER,SUITE 200",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088172684",
            "telephone_number": "732-235-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERDEROSA",
        "first_name": "KRISTYN",
        "middle_name": "TESSA-MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05522500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4144007",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kavitha Velicheti, MD
• Vasilios Velmahos, M.D
• Stephanie C Veloso, BSN RN
• Chandan Venkatesh, DMD
• Veralake LLC
• Madhoolika Verma, M.D.
• Purnima Verma
• Robert Anthony Vernickas, OPTICIAN
• Gracinda Vertil
• Irmadel Galve Vertucio, OTR/L

• Clinical Social Worker in Edison, NJ
• Providers in Edison, 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 20, 2013; 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.