Active NPI
Fred Pastor, DSW, LCSW,L.L.C.
- Clinical Social Worker
- Succasunna, NJ
National Provider Identifier
1659333243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 44SC05012200
- Practice address
- 54 Main St
Suite 202
Succasunna, NJ 07876-1400 - Phone
- (973) 584-4050
- Fax
- (973) 598-9296
- NPI assigned
- Apr 6, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC05012200 | NJ | Primary |
Addresses
Primary practice location
54 Main St
Suite 202
Succasunna, NJ 07876-1400
Mailing address
54 Main St
Suite 202
Succasunna, NJ 07876-1400
Phone (973) 584-4050
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inhealth PA | Clinical | Past | Accepting new patients |
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": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1659333243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 MAIN ST",
"address_2": "SUITE 202",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761400",
"telephone_number": "973-584-4050",
"fax_number": "973-598-9296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "54 MAIN ST",
"address_2": "SUITE 202",
"city": "SUCCASUNNA",
"state": "NJ",
"postal_code": "078761400",
"telephone_number": "973-584-4050",
"fax_number": "973-598-9296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASTOR",
"first_name": "FRED",
"name_prefix": "Dr.",
"credential": "DSW, LCSW,L.L.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-06",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC05012200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Succasunna, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.