Individual provider Active NPI

Archana Pillai Jeanbaptiste, LCSW

  • Clinical Social Worker
  • Metuchen, NJ
National Provider Identifier
1568979367
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05128400 Issued in NJ
Practice address
61 Pearl St
Metuchen, NJ 08840-1832
Phone
(908) 514-8590
Fax
(908) 889-5619
NPI assigned
Jan 3, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05128400 NJ Primary
Marriage & Family Therapist 106H00000X 44SC05128400 NJ

Addresses

Primary practice location

61 Pearl St
Metuchen, NJ 08840-1832

Mailing address

61 Pearl St
Metuchen, NJ 08840-1832
Phone (908) 514-8590

Other identifiers 1

IdentifierTypeStateIssuer
0018244MedicaidNJ

Other names 1

  • Archana Pillai Jeanbaptiste Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.elderology.com Direct Elderology, LLC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211213001401 NJ Practitioner - Clinical Social Worker 8325438013 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Elderology LLCGroup PAC ID 6507904141, 23 clinicians

Practice addresses (Care Compare)

61 Pearl St
Metuchen, NJ 08840-1832
Phone (908) 514-8590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05128400NJMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Elderology, LLC Clinical CurrentSince Oct 4, 2021 Accepting new patients

Locations

61 Pearl St
Metuchen, NJ 08840
Phone (908) 514-8590

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1514937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1568979367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PEARL ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401832",
            "telephone_number": "908-514-8590",
            "fax_number": "908-889-5619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 PEARL ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088401832",
            "telephone_number": "908-514-8590",
            "fax_number": "908-889-5619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANBAPTISTE",
        "first_name": "ARCHANA",
        "middle_name": "PILLAI",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-03",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05128400",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NJ",
            "license": "44SC05128400",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018244",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.elderology.com",
            "affiliation": "Y",
            "affiliationName": "Elderology, LLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "61 Pearl St",
            "city": "Metuchen",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "088401832",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ARCHANA",
            "last_name": "JEANBAPTISTE",
            "middle_name": "PILLAI",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Metuchen, NJ

Sources for this page

Verify at the official NPI Registry.