Active NPI
Steven Kumbartzky
- Social Worker
- Mahwah, NJ
National Provider Identifier
1376119644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 20 Ridge Rd
Mahwah, NJ 07430-2010 - Phone
- (469) 608-9324
- NPI assigned
- May 27, 2021
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
20 Ridge Rd
Mahwah, NJ 07430-2010
Mailing address
6027 W Olive Ave
Glendale, AZ 85302-3035
Phone (469) 608-9324
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| K92397230010714 | Other | NJ | DRIVERS LICENSE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622073600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622073600000",
"number": "1376119644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6027 W OLIVE AVE",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853023035",
"telephone_number": "469-608-9324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 RIDGE RD",
"city": "MAHWAH",
"state": "NJ",
"postal_code": "074302010",
"telephone_number": "469-608-9324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMBARTZKY",
"first_name": "STEVEN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-05-27",
"last_updated": "2021-05-27",
"certification_date": "2021-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVERS LICENSE",
"identifier": "K92397230010714",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mahwah, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.