Individual provider Active NPI

Waffa S Elsayed

  • Social Worker
  • Edison, NJ
National Provider Identifier
1487269791
Registry record updated Sep 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW-GTL-20-01159 Issued in NJ
Practice address
2035 Lincoln Hwy Ste 1150
Edison, NJ 08817-3351
Phone
(866) 557-8669
NPI assigned
Sep 14, 2020
Last updated
Sep 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW-GTL-20-01159 NJ Primary

Addresses

Primary practice location

2035 Lincoln Hwy Ste 1150
Edison, NJ 08817-3351

Mailing address

13 Parkwood Dr Apt 13S
South Amboy, NJ 08879-2301
Phone (732) 697-8113

Other identifiers 1

IdentifierTypeStateIssuer
ZBYA40571006OtherNJLIABILITY INSURANCE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jcaputo@sunnydays.com Direct

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

LicenseStateTypeSpecialty
SW-GTL-20-01159NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sunny Days Sunshine Center Inc PastSince Sep 20, 2020 Accepting new patients
Sunny Days Sunshine Center Inc PastSince Sep 20, 2020 Accepting new patients

Organizations & group practices 2

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": "1600041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600041600000",
    "number": "1487269791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 PARKWOOD DR APT 13S",
            "city": "SOUTH AMBOY",
            "state": "NJ",
            "postal_code": "088792301",
            "telephone_number": "732-697-8113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 LINCOLN HWY STE 1150",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173351",
            "telephone_number": "866-557-8669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSAYED",
        "first_name": "WAFFA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-14",
        "certification_date": "2020-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "SW-GTL-20-01159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIABILITY INSURANCE",
            "identifier": "ZBYA40571006",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jcaputo@sunnydays.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2035 Lincoln Hwy Ste 1150",
            "city": "Edison",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088173351",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 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.

Verify at the official NPI Registry.