Individual provider Active NPI

Allyson Guzman

  • Social Worker
  • Vauxhall, NJ
National Provider Identifier
1407555782
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL06776900 Issued in NJ
Practice address
2933 Vauxhall Rd Ste 7
Vauxhall, NJ 07088-1248
Phone
(201) 822-1161
Fax
(877) 485-8918
NPI assigned
Feb 27, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06776900 NJ Primary

Addresses

Primary practice location

2933 Vauxhall Rd Ste 7
Vauxhall, NJ 07088-1248

Mailing address

976 Revere Dr
Hillside, NJ 07205-2932
Phone (908) 652-1423

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

LicenseStateTypeSpecialty
44SL06776900NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Bancroft, a New Jersey Nonprofit Corporation Past Accepting new patients
JLS Medical PC PastSince Mar 3, 2023 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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1407555782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 REVERE DR",
            "city": "HILLSIDE",
            "state": "NJ",
            "postal_code": "072052932",
            "telephone_number": "908-652-1423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2933 VAUXHALL RD STE 7",
            "city": "VAUXHALL",
            "state": "NJ",
            "postal_code": "070881248",
            "telephone_number": "201-822-1161",
            "fax_number": "877-485-8918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "ALLYSON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06776900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vauxhall, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2023; 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.