Individual provider Active NPI

Melanie Ann Shapiro, LCSW MSW ALSW,R.N.

  • Clinical Social Worker
  • Bound Brook, NJ
National Provider Identifier
1649425133
Registry record updated Oct 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01374600 Issued in NJ
Practice address
618 Betsy Ross Place
Bound Brook, NJ 08805-1322
Phone
(732) 735-7793
Fax
(732) 271-2533
NPI assigned
Nov 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2016

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 44SC01374600 NJ Primary
Registered Nurse 163W00000X 26NR18910100 NJ

Addresses

Primary practice location

618 Betsy Ross Place
Bound Brook, NJ 08805-1322

Mailing address

618 Betsy Ross Place
Bound Brook, NJ 08805-1322
Phone (732) 735-7793

Other identifiers 1

IdentifierTypeStateIssuer
26NR18910100OtherNJR.N. LICENSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
44SC01374600NJMDClinical Social Worker
26NR18910100NJMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1227571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476835200000",
    "number": "1649425133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 BETSY ROSS PLACE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051322",
            "telephone_number": "732-735-7793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "618 BETSY ROSS PLACE",
            "city": "BOUND BROOK",
            "state": "NJ",
            "postal_code": "088051322",
            "telephone_number": "732-735-7793",
            "fax_number": "732-271-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAPIRO",
        "first_name": "MELANIE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW MSW ALSW,R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-25",
        "last_updated": "2016-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01374600",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18910100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R.N. LICENSE",
            "identifier": "26NR18910100",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bound Brook, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.