Active NPI
Robert L Sistler Jr., LSW
- Social Worker
- Rio Grande, NJ
National Provider Identifier
1336524529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06081800
- Practice address
- 1076 Route 47 S
Rio Grande, NJ 08242-1608 - Phone
- (609) 741-6363
- NPI assigned
- Jul 29, 2015
- Last updated
- Jul 29, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06081800 | NJ | Primary |
Addresses
Primary practice location
1076 Route 47 S
Rio Grande, NJ 08242-1608
Mailing address
40 Stagecoach Rd
Marmora, NJ 08223-1438
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06081800 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cooperative Care Partnership, Inc | Past | Accepting new patients | |
| Cooperative Care Partnership, Inc. | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Rio Grande, NJ
- NPI 1477898096
-
- Community/Behavioral Health Agency
- Rio Grande, NJ
- NPI 1598124828
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438128000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438128000000",
"number": "1336524529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 STAGECOACH RD",
"city": "MARMORA",
"state": "NJ",
"postal_code": "082231438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1076 ROUTE 47 S",
"city": "RIO GRANDE",
"state": "NJ",
"postal_code": "082421608",
"telephone_number": "609-741-6363"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISTLER",
"first_name": "ROBERT",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-07-29",
"last_updated": "2015-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06081800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rio Grande, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.