Individual provider Active NPI

Michael Gerardo Zuccaro, MSW LCSW

  • Clinical Social Worker
  • Lanoka Harbor, NJ
National Provider Identifier
1437227915
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
445C00278200 Issued in NJ
Practice address
500 N Main Street
Lanoka Harbor, NJ 08734
Phone
(609) 971-8989
Fax
(609) 242-3207
NPI assigned
Dec 1, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
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 445C00278200 NJ Primary

Addresses

Primary practice location

500 N Main Street
Lanoka Harbor, NJ 08734

Mailing address

500 N Main Street
Lanoka Harbor, NJ 08734
Phone (609) 971-8989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202000457 NJ Practitioner - Clinical Social Worker 5193776631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Haven Behavioral Health LLCGroup PAC ID 9234566241, 4 clinicians

Practice addresses (Care Compare)

500 N Main St
Lanoka Harbor, NJ 08734-2228
Phone (609) 971-8989

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
445C00278200NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Behavioral Health, LLC Clinical CurrentSince Feb 6, 2020 Accepting new patients

Locations

801 Lacey Rd
Forked River, NJ 08731
Phone (609) 242-0040

500 US Highway 9
Lanoka Harbor, NJ 08734
Phone (609) 693-8131

500 US Highway 9
Bldg 2
Lanoka Harbor, NJ 08734
Phone (609) 971-8989

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1164931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437227915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MAIN STREET",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "08734",
            "telephone_number": "609-971-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MAIN STREET",
            "city": "LANOKA HARBOR",
            "state": "NJ",
            "postal_code": "08734",
            "telephone_number": "609-971-8989",
            "fax_number": "609-242-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCARO",
        "first_name": "MICHAEL",
        "middle_name": "GERARDO",
        "name_prefix": "Mr.",
        "credential": "MSW LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "445C00278200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lanoka Harbor, NJ

Sources for this page

Verify at the official NPI Registry.