Active NPI
Kelly Tiffany
- Social Worker
- Brick, NJ
National Provider Identifier
1487350930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06380900
- Practice address
- 74 Brick Blvd
Brick, NJ 08723-7984 - Phone
- (732) 451-4531
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 44SL06380900 | NJ | Primary |
Addresses
Primary practice location
74 Brick Blvd
Brick, NJ 08723-7984
Mailing address
2011 Rte 71
Spring Lake, NJ 07762-2214
Phone (908) 721-7255
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 |
|---|---|---|---|
| 44SL06380900 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1487350930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2011 RTE 71",
"city": "SPRING LAKE",
"state": "NJ",
"postal_code": "077622214",
"telephone_number": "908-721-7255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "74 BRICK BLVD",
"city": "BRICK",
"state": "NJ",
"postal_code": "087237984",
"telephone_number": "732-451-4531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFFANY",
"first_name": "KELLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06380900",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brick, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.