Individual provider Active NPI

Benjamin Zeilingold, L.C.S.W.

  • Clinical Social Worker
  • Lakewood, NJ
National Provider Identifier
1295744373
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04803700 Issued in NJ
Practice address
100 10TH St
Lakewood, NJ 08701-1972
Phone
(732) 363-4178
Fax
(732) 363-0408
NPI assigned
Aug 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC04803700 NJ Primary

Addresses

Primary practice location

100 10TH St
Lakewood, NJ 08701-1972

Mailing address

100 10TH St
Lakewood, NJ 08701-1972
Phone (732) 363-4178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC04803700NJMDClinical Social Worker
027375NYMDOrthodontics and Dentofacial Orthopedic Dentist

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Care LLC Dba Elder Life Home Care LLC Past Accepting new patients
Elder Life Management LLC Clinical PastSince Dec 15, 2013 Accepting new patients

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": "1154822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295744373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 10TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011972",
            "telephone_number": "732-363-4178",
            "fax_number": "732-363-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 10TH ST",
            "city": "LAKEWOOD",
            "state": "NJ",
            "postal_code": "087011972",
            "telephone_number": "732-363-4178",
            "fax_number": "732-363-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEILINGOLD",
        "first_name": "BENJAMIN",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04803700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.