Emily Tully

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07189500 Issued in NJ

Practice address

15 Farview Ter
Paramus, NJ 07652-2761

Phone

(551) 579-4441

NPI assigned

Nov 18, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1731888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1619792504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 KNICKERBOCKER RD APT 14",
            "city": "DUMONT",
            "state": "NJ",
            "postal_code": "076282634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 FARVIEW TER",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522761",
            "telephone_number": "551-579-4441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TULLY",
        "first_name": "EMILY",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-11-18",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00360000",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07189500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Tseytlina
• Elena Tsymbalova, DDS
• Mary Tucker, FNP-BC
• Drew Tuckman, M.D.
• Matthew Edward Tuite, MS, CASAC-T
• Corey A Turk, D.D.S.
• Jessica Turner, LAC, MA, ED.M
• Hach V Turyan, M.D.
• Bowen Tzeng, M.D.
• Yoomi Uber

• Social Worker in Paramus, NJ
• Providers in Paramus, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2024; 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.