Individual provider Active NPI

Melissa A. Rottemberg, MSW

  • Clinical Social Worker
  • Holmdel, NJ
National Provider Identifier
1295016541
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05458800 Issued in NJ
Practice address
717 N Beers St
Holmdel, NJ 07733-1524
Phone
(732) 264-2440
Fax
(732) 888-7767
NPI assigned
Aug 31, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 44SC05458800 NJ Primary

Addresses

Primary practice location

717 N Beers St
Holmdel, NJ 07733-1524

Mailing address

717 N Beers St
Holmdel, NJ 07733-1524
Phone (732) 264-2440

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
I20210127000117 NJ Practitioner - Clinical Social Worker 8022422450 Practice locations: Holmdel, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

717 N Beers St
Suite 2B
Holmdel, NJ 07733-1525
Phone (732) 264-2440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05458800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
William E Smeltzer & James M Spitalny PTRS Clinical Past Accepting new patients

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": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1295016541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-264-2440",
            "fax_number": "732-888-7767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 N BEERS ST",
            "city": "HOLMDEL",
            "state": "NJ",
            "postal_code": "077331524",
            "telephone_number": "732-264-2440",
            "fax_number": "732-888-7767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROTTEMBERG",
        "first_name": "MELISSA",
        "middle_name": "A.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05458800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holmdel, NJ

Sources for this page

Verify at the official NPI Registry.