Individual provider Active NPI

Marni M Neuburger, LCSW

  • Clinical Social Worker
  • Fair Lawn, NJ
National Provider Identifier
1437200490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05187200 Issued in NJ
Practice address
17-10 River Rd
Fair Lawn, NJ 07410-1252
Phone
(201) 796-5151
Fax
(201) 794-8399
NPI assigned
Jan 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05187200 NJ Primary

Addresses

Primary practice location

17-10 River Rd
Fair Lawn, NJ 07410-1252

Mailing address

1 Pike Dr
Wayne, NJ 07470-2443
Phone (973) 595-5477

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service of North Jersey, Inc. Past Accepting new patients
Jewish Family & Children'S Services of Northern New Jersey, Inc. Clinical PastSince Apr 30, 2018 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": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437200490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PIKE DR",
            "city": "WAYNE",
            "state": "NJ",
            "postal_code": "074702443",
            "telephone_number": "973-595-5477",
            "fax_number": "973-595-5477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17-10 RIVER RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101252",
            "telephone_number": "201-796-5151",
            "fax_number": "201-794-8399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEUBURGER",
        "first_name": "MARNI",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05187200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.