Individual provider Active NPI

Dana A Hayes, LCSW

  • Social Worker
  • Bergenfield, NJ
National Provider Identifier
1285157479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05304700 Issued in NJ
Practice address
11 Woods Ave
Bergenfield, NJ 07621-1531
Phone
(551) 265-2083
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC05304700 NJ Primary

Addresses

Primary practice location

11 Woods Ave
Bergenfield, NJ 07621-1531

Mailing address

11 Woods Ave
Bergenfield, NJ 07621-1531
Phone (551) 265-2083

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170828000874 NJ Practitioner - Clinical Social Worker 1759653694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geriatrics and Longevity Treatment Specialist, PCGroup PAC ID 3072787308, 9 clinicians

Practice addresses (Care Compare)

810 Main St
Hackensack, NJ 07601-4847
Phone (201) 633-7375

Merit-based Incentive Payment System (MIPS)

Final score
94.94 of 100Reported as group
Quality
100
Improvement activities
40
Cost
56.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Geriatrics and Longevity Treatment Specialist, PC CurrentSince Jul 1, 2017 Accepting new patients

Locations

810 Main St
Hackensack, NJ 07601
Phone (201) 488-6728

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.

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1285157479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 WOODS AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211531",
            "telephone_number": "551-265-2083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 WOODS AVE",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211531",
            "telephone_number": "551-265-2083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAYES",
        "first_name": "DANA",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05304700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bergenfield, NJ

Sources for this page

Verify at the official NPI Registry.