Active NPI
Tatyana Vaynshteyn
- Clinical Social Worker
- Paramus, NJ
National Provider Identifier
1275936098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05347200
- Practice address
- 4 Forest Ave
Paramus, NJ 07652-5214 - Phone
- (201) 565-2920
- NPI assigned
- Oct 7, 2014
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 37LC00151700 | NJ | |
| Clinical Social Worker | 1041C0700X | 44SC05347200 | NJ | Primary |
Addresses
Primary practice location
4 Forest Ave
Paramus, NJ 07652-5214
Mailing address
84 Gristmill Rd
Randolph, NJ 07869-2203
Phone (973) 328-6585
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
841 Mountain Ave
Suite 100
Springfield, NJ 07081-3437
841 Mountain Ave
Suite 100
Springfield, NJ 07081-3463
Phone (872) 810-3621
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37LC00151700 | NJ | MD | Addiction (Substance Use Disorder) Counselor |
| 44SC05347200 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Social Recovery Center LLC | Current | Accepting new patients |
Locations
841 Mountain Ave
#100
Springfield, NJ 07081
Phone (872) 810-3621
841 Mountain Ave
Ste 100
Springfield, NJ 07081
Phone (973) 774-2273
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.
-
- Community/Behavioral Health Agency
- Springfield, NJ
- NPI 1063289817
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521676800000",
"number": "1275936098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84 GRISTMILL RD",
"city": "RANDOLPH",
"state": "NJ",
"postal_code": "078692203",
"telephone_number": "973-328-6585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 FOREST AVE",
"city": "PARAMUS",
"state": "NJ",
"postal_code": "076525214",
"telephone_number": "201-565-2920"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAYNSHTEYN",
"first_name": "TATYANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-07",
"last_updated": "2018-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NJ",
"license": "37LC00151700",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05347200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paramus, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.