Active NPI
Megan Patterson
- Social Worker
- Kendall Park, NJ
National Provider Identifier
1629576202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06072000
- Practice address
- 3176 State Route 27
Ste 2B
Kendall Park, NJ 08824-1514 - Phone
- (347) 349-5618
- NPI assigned
- Jan 29, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 | 44SL06072000 | NJ | Primary |
Addresses
Primary practice location
3176 State Route 27
Ste 2B
Kendall Park, NJ 08824-1514
Mailing address
133 Forest Glen Dr
Highland Park, NJ 08904-1938
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Jan 1, 2025 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06072000 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1517184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527552000000",
"number": "1629576202",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "133 FOREST GLEN DR",
"city": "HIGHLAND PARK",
"state": "NJ",
"postal_code": "089041938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3176 STATE ROUTE 27",
"address_2": "STE 2B",
"city": "KENDALL PARK",
"state": "NJ",
"postal_code": "088241514",
"telephone_number": "347-349-5618"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "MEGAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-01-29",
"last_updated": "2018-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06072000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kendall Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.