Individual provider Active NPI

Rose G Gramuglia Santiago, LCSW

  • Clinical Social Worker
  • Westwood, NJ
National Provider Identifier
1467765362
Registry record updated Jul 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05256600 Issued in NJ
Practice address
372 Kinderkamack Rd
Suite 1a
Westwood, NJ 07675-1653
Phone
(201) 767-7997
NPI assigned
Jul 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2010

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 44SC05256600 NJ Primary

Addresses

Primary practice location

372 Kinderkamack Rd
Suite 1a
Westwood, NJ 07675-1653

Mailing address

372 Kinderkamack Rd
Suite 1a
Westwood, NJ 07675-1653
Phone (201) 767-7997

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 25, 2025 through Apr 25, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05256600NJMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279584000000",
    "number": "1467765362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "372 KINDERKAMACK RD",
            "address_2": "SUITE 1A",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751653",
            "telephone_number": "201-767-7997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 KINDERKAMACK RD",
            "address_2": "SUITE 1A",
            "city": "WESTWOOD",
            "state": "NJ",
            "postal_code": "076751653",
            "telephone_number": "201-767-7997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAMUGLIA SANTIAGO",
        "first_name": "ROSE",
        "middle_name": "G",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-20",
        "last_updated": "2010-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05256600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westwood, NJ

Sources for this page

Verify at the official NPI Registry.