Therapy Services of New Jersey, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

THERAPY SERVICES OF NEW JERSEY, LLC

Practice address

363 Centre St Ste 2
Nutley, NJ 07110-4706

Phone

(973) 287-9800

NPI assigned

Jan 27, 2016

Last updated

Mar 11, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Sampson, LCSWNPI 1013216233

Title

Therapist

Phone

(973) 287-9800

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jennifer L. Sampson, LCSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1013216233
  Medicare reassignment NPD Authorized official
• Bonnie Abramowitz, MSW,ACSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1730300997
  NPD (past)
• Eileen Maria Doyle, MSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1295959872
  NPD (past)
• James Silvestri, LCSW

  • Clinical Social Worker
  • Nutley, NJ
  • NPI 1538289574
  NPD (past)

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

{
    "created_epoch": "1453852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457654400000",
    "number": "1417314006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 PENNINGTON CT",
            "city": "PASSAIC",
            "state": "NJ",
            "postal_code": "070553408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "363 CENTRE ST STE 2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071104706",
            "telephone_number": "973-287-9800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY SERVICES OF NEW JERSEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-27",
        "last_updated": "2016-03-11",
        "status": "A",
        "authorized_official_last_name": "SAMPSON",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "973-287-9800",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Arc of Essex County, Inc.
• The Arc of Essex County, Inc.
• The Healing Center, LLC
• Theodorou Therapy LLC
• Erin Doyle Theodorou, M.ED, LPC, NCC
• Danielle V Thomson, PT
• Philip Edward Toaldo, DDS
• Anuj J Tolia, MD
• Richard Tom, DMD
• John Frank Tomburo II, DC

• Clinical Social Worker in Nutley, NJ
• Providers in Nutley, 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 Mar 11, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.