Individual provider Active NPI

Jaime M Pertuz, LSW

  • Social Worker
  • Paramus, NJ
National Provider Identifier
1699104943
Registry record updated Nov 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05932400 Issued in NJ
Practice address
610 Valley Health PLZ
Paramus, NJ 07652-3607
Phone
(201) 265-8200
NPI assigned
Nov 7, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL05932400 NJ Primary

Addresses

Primary practice location

610 Valley Health PLZ
Paramus, NJ 07652-3607

Mailing address

17-07 Romaine St
Fair Lawn, NJ 07410-2150
Phone (201) 797-2660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211117002970 NY Practitioner - Clinical Social Worker 5193114825 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05932400NJMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Health Care Long Island CurrentSince Aug 17, 2021 Accepting new patients
Harmony Health Care Long Island CurrentSince Aug 17, 2021 Accepting new patients
Harmony Health Care Long Island Current Accepting new patients

Locations

101 S Bergen Pl
Freeport, NY 11520
Phone (516) 623-3600

135 Main St
Hempstead, NY 11550
Phone (516) 292-3111

1600 Stewart Ave
Ste 300
Westbury, NY 11590
Phone (516) 546-4209

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1383782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383782400000",
    "number": "1699104943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17-07 ROMAINE ST",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074102150",
            "telephone_number": "201-797-2660",
            "fax_number": "201-797-5025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 VALLEY HEALTH PLZ",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076523607",
            "telephone_number": "201-265-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERTUZ",
        "first_name": "JAIME",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05932400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

Verify at the official NPI Registry.