Mary A Santiago, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05654800 Issued in NJ

Practice address

227 Donny Brook Dr
Allendale, NJ 07401-1422

Phone

(201) 819-8545

Fax

(805) 473-5931

NPI assigned

Mar 20, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Jersey Health and Wellness LLCGroup PAC ID 3375846637, 16 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• North Jersey Health and Wellness LLC

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Ramsey, NJ
  • NPI 1285005884

  NJ

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1553040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1578023396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 DONNY BROOK DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011422",
            "telephone_number": "805-473-0700",
            "fax_number": "805-473-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 DONNY BROOK DR",
            "city": "ALLENDALE",
            "state": "NJ",
            "postal_code": "074011422",
            "telephone_number": "201-819-8545",
            "fax_number": "805-473-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANTIAGO",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-20",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05654800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Gilliad Rossetti, LCSW
• Carol Roy
• Maryam Safai, D.D.S
• Janet Salerno
• Yasoda Sannala, RPH
• John Saraydarian, DMD
• Patricia L Saul, M.S.W. PHD LCSW
• Jessica Schaffer
• Carrie Ellen Schroeder
• Brooke Schubert, OTR/L

• All providers in Allendale, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.