Joseph Russell William Jaworek, MA-CT, ATR-BC

Primary specialty

Art TherapistTaxonomy code 221700000X

Practice address

27 Route 202 South
Far Hills, NJ 07931

Phone

(973) 476-6109

NPI assigned

Jun 6, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248307200000",
    "number": "1457554677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 NORTH RD",
            "city": "BOONTON TOWNSHIP",
            "state": "NJ",
            "postal_code": "070059229",
            "telephone_number": "973-476-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 ROUTE 202 SOUTH",
            "city": "FAR HILLS",
            "state": "NJ",
            "postal_code": "07931",
            "telephone_number": "973-476-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAWOREK",
        "first_name": "JOSEPH",
        "middle_name": "RUSSELL WILLIAM",
        "name_prefix": "Mr.",
        "credential": "MA-CT, ATR-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2009-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "221700000X",
            "taxonomy_group": "",
            "desc": "Art Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; 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.