Kristine Ann Pendy, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04707500 Issued in NJ

Practice address

18 Rutgers Dr
Oakland, NJ 07436-3520

Phone

(201) 644-8474

Fax

(201) 265-0366

NPI assigned

Oct 6, 2006

Sex

Female

Sole proprietor

No

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, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vantage Health System, IncGroup PAC ID 8325033178, 12 clinicians

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 and National Provider Directory roles.

• Vantage Health System, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dumont, NJ
  • NPI 1518939917
  Medicare reassignment Care Compare group NPD
• Vantage Health System, Inc.

  • Community/Behavioral Health Agency
  • Englewood, NJ
  • NPI 1144354861
  NPD

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255428900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 RUTGERS DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363520",
            "telephone_number": "201-644-8474",
            "fax_number": "201-265-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 RUTGERS DR",
            "city": "OAKLAND",
            "state": "NJ",
            "postal_code": "074363520",
            "telephone_number": "201-644-8474",
            "fax_number": "201-265-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENDY",
        "first_name": "KRISTINE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04707500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eugene B Papowitz, M.D.
• Michelle S. Parris, MD
• Dana Patti, RPH
• Pcklrama, Inc.
• Beth Tansey Peller, RN
• Louis F Perdomo, MD
• Pedro Miguel Pereira, M.D.
• Janine Marie Perry, LAC, SAC, NCC
• Phyos Therapy LLC
• Jessica Pixley

• Clinical Social Worker in Oakland, NJ
• Providers in Oakland, 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 Jul 8, 2007; 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.