Individual provider Active NPI

Rosario Reimon-Jenkins, LCSW

  • Clinical Social Worker
  • Belleville, NJ
National Provider Identifier
1285954818
Registry record updated Sep 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04521000 Issued in NJ
Practice address
153 Union Ave
Belleville, NJ 07109-2069
Phone
(201) 878-2061
NPI assigned
Jun 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC04521000 NJ Primary

Addresses

Primary practice location

153 Union Ave
Belleville, NJ 07109-2069

Mailing address

1712 West St
#2
Union City, NJ 07087-3235
Phone (291) 330-0934

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
I20121109000084 NJ Practitioner - Clinical Social Worker 2567613037 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04521000NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Newark Community Health Centers, Inc. CurrentSince Sep 10, 2025 Accepting new patients
Newark Community Health Centers, Inc CurrentSince Sep 10, 2025 Accepting new patients

Locations

741 Broadway
Newark, NJ 07104
Phone (973) 483-1300

101 Ludlow St
Newark, NJ 07114
Phone (973) 565-0355

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HBFIAA

Organizations & group practices 2

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": "1275696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506124800000",
    "number": "1285954818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 WEST ST",
            "address_2": "#2",
            "city": "UNION CITY",
            "state": "NJ",
            "postal_code": "070873235",
            "telephone_number": "291-330-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 UNION AVE",
            "city": "BELLEVILLE",
            "state": "NJ",
            "postal_code": "071092069",
            "telephone_number": "201-878-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIMON-JENKINS",
        "first_name": "ROSARIO",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-05",
        "last_updated": "2017-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04521000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belleville, NJ

Sources for this page

Verify at the official NPI Registry.