Inner Vision Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05556500 Issued in NJ

Legal business name

INNER VISION SERVICES LLC

Practice address

10-14 Saddle River Rd
2ND Floor
Fair Lawn, NJ 07410-5728

Phone

(917) 535-9425

NPI assigned

Oct 9, 2013

Last updated

Oct 9, 2013By 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

Ms. Inna Dyaduk, LCSW

Title

Social Worker

Phone

(917) 535-9425

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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.

• Inna Dyadyuk, LSW

  • Social Worker
  • Fair Lawn, NJ
  • NPI 1679873707
  NPD (past)

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

{
    "created_epoch": "1381276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381276800000",
    "number": "1447687322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GARWOOD RD",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074104502",
            "telephone_number": "917-535-9425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10-14 SADDLE RIVER RD",
            "address_2": "2ND FLOOR",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074105728",
            "telephone_number": "917-535-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER VISION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-09",
        "last_updated": "2013-10-09",
        "status": "A",
        "authorized_official_last_name": "DYADUK",
        "authorized_official_first_name": "INNA",
        "authorized_official_title_or_position": "SOCIAL WORKER",
        "authorized_official_telephone_number": "917-535-9425",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05556500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Odessa S Incorvaia, MSW, LSW
• Denise Infante, MD
• Lauren Elizabeth Infante
• Salvatore Infantino, MD
• Infinity Tomorrow
• Institute for Diagnosis & Treatment of Pain
• Grace Carolina Iparraguirre, MD
• Shaigan Javed Iqbal, M.D.
• Julius Iratagotia, OT/CKTP
• Irina Ivanova

• Clinical Social Worker in Fair Lawn, NJ
• Providers in Fair Lawn, 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 Oct 9, 2013; 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.