Active NPI
Alvin K Bussie
- Social Worker
- New Brunswick, NJ
National Provider Identifier
1477177392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 445L06458000
- Practice address
- 10 Landing LN Apt 9K
New Brunswick, NJ 08901-1051 - Phone
- (732) 846-3679
- Fax
- (201) 255-7352
- NPI assigned
- Jun 5, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 445L06458000 | NJ | Primary |
Addresses
Primary practice location
10 Landing LN Apt 9K
New Brunswick, NJ 08901-1051
Mailing address
10 Landing LN Apt 9K
New Brunswick, NJ 08901-1051
Phone (732) 846-3679
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 445L06458000 | Other | NJ | LICENSE IN SOCIAL WORK |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 445L06458000 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1477177392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 LANDING LN APT 9K",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011051",
"telephone_number": "732-846-3679",
"fax_number": "201-255-7352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 LANDING LN APT 9K",
"city": "NEW BRUNSWICK",
"state": "NJ",
"postal_code": "089011051",
"telephone_number": "732-846-3679",
"fax_number": "201-255-7352"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSSIE",
"first_name": "ALVIN",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-06-05",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "445L06458000",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE IN SOCIAL WORK",
"identifier": "445L06458000",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}Other providers in New Brunswick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.