Active NPI
Jonathan Mworia
- Case Manager/Care Coordinator
- Elizabeth, NJ
National Provider Identifier
1659872877
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Manager/Care Coordinator
- Practice address
- 1018 E Grand St
Elizabeth, NJ 07201-2618 - Phone
- (908) 531-8686
- NPI assigned
- Feb 22, 2018
- Last updated
- Mar 17, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Research Study Specialist | 1744R1102X | NU | ||
| Case Manager/Care Coordinator | 171M00000X | NU | Primary |
Addresses
Primary practice location
1018 E Grand St
Elizabeth, NJ 07201-2618
Mailing address
1018 E Grand St
Elizabeth, NJ 07201-2618
Other practice location 1
40 Watchung Way
Berkeley Heights, NJ 07922-2600
Phone (908) 790-5300
Other practice location 2
654 E Jersey St # 07206
Elizabeth, NJ 07206-1261
Phone (908) 994-7556
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mentalcare Peer Support Network | Case Manager/Care Coordinator | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Community/Behavioral Health Agency
- Elizabeth, NJ
- NPI 1154824829
Case Manager/Care Coordinator
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519257600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1659872877",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 E GRAND ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1018 E GRAND ST",
"city": "ELIZABETH",
"state": "NJ",
"postal_code": "072012618",
"telephone_number": "908-531-8686"
}
],
"practiceLocations": [
{
"address_1": "40 Watchung Way",
"address_purpose": "LOCATION",
"city": "Berkeley Heights",
"state": "NJ",
"postal_code": "079222600",
"country_code": "US",
"telephone_number": "908-790-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "654 E Jersey St # 07206",
"address_purpose": "LOCATION",
"city": "Elizabeth",
"state": "NJ",
"postal_code": "072061261",
"country_code": "US",
"telephone_number": "908-994-7556",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MWORIA",
"first_name": "JONATHAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-02-22",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1744R1102X",
"taxonomy_group": "",
"desc": "Specialist, Research Study",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elizabeth, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.