Paul Robert Fine, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SC01458 Issued in NJ

Practice address

163 Engle St Ste 5
Englewood, NJ 07631-2530

Phone

(201) 835-8565

NPI assigned

Jun 6, 2006

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vantage Health System, IncGroup PAC ID 8325033178, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Vantage Health System, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dumont, NJ
  • NPI 1518939917
  Medicare reassignment Care Compare group NPD
• Vantage Health System, Inc.

  • Community/Behavioral Health Agency
  • Englewood, NJ
  • NPI 1144354861
  NPD

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1295774982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1165 W LAURELTON PKWY",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076662753",
            "telephone_number": "201-836-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "163 ENGLE ST STE 5",
            "city": "ENGLEWOOD",
            "state": "NJ",
            "postal_code": "076312530",
            "telephone_number": "201-835-8565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINE",
        "first_name": "PAUL",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "SC01458",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0006602",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leilani Emmeline Feliciano, APN, WHNP-BC
• Lauren Fenwick, PT
• Shelly Feygelman, MD
• Fine Family Dental LLC
• Craig Irvin Fine, D.M.D.
• Vicki Fiore, MD
• Kimia Firouz
• Carla A Fishbein, M.S.P.A.,CCC
• Steven Fisher, DDS
• Miriam Fishman, M.D.

• Clinical Social Worker in Englewood, NJ
• Providers in Englewood, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.

Verify at the official NPI Registry.