Active NPI
Phoebe Livanis
- Social Worker
- Maywood, NJ
National Provider Identifier
1699331322
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06811200
- Practice address
- 87 State RT 17 N Ste 1-181
Maywood, NJ 07607-1017 - Phone
- (551) 996-4450
- NPI assigned
- May 17, 2019
- Sex
- Female
- Sole proprietor
- No
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 | 44SL06811200 | NJ | Primary |
Addresses
Primary practice location
87 State RT 17 N Ste 1-181
Maywood, NJ 07607-1017
Mailing address
331 Newman Springs Rd
BLDG 2, Ste 220
Red Bank, NJ 07701-5688
Other practice location 1
4 Forest Ave Ste 201
Paramus, NJ 07652-5246
Phone (888) 224-7312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
10 Bank St
Suite 830
White Plains, NY 10606-1959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06811200 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Forge Medical Group, LLC | Current | Accepting new patients | |
| Forge Medical Group, LLC | Current | Accepting new patients |
Locations
1500 Pleasant Valley Way
Ste 305
West Orange, NJ 07052
Phone (862) 658-6700
10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312
Organizations & group practices 2
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": "1558051200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787011200000",
"number": "1699331322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 NEWMAN SPRINGS RD",
"address_2": "BLDG 2, STE 220",
"city": "RED BANK",
"state": "NJ",
"postal_code": "077015688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 STATE RT 17 N STE 1-181",
"city": "MAYWOOD",
"state": "NJ",
"postal_code": "076071017",
"telephone_number": "551-996-4450"
}
],
"practiceLocations": [
{
"address_1": "4 Forest Ave Ste 201",
"address_purpose": "LOCATION",
"city": "Paramus",
"state": "NJ",
"postal_code": "076525246",
"country_code": "US",
"telephone_number": "888-224-7312",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LIVANIS",
"first_name": "PHOEBE",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-17",
"last_updated": "2026-08-18",
"certification_date": "2026-08-18",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06811200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maywood, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.