Individual provider Active NPI

Jeremy Andrew Sacher, LCSW

  • Clinical Social Worker
  • Hackensack, NJ
National Provider Identifier
1700144185
Registry record updated Apr 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05468800 Issued in NJ
Practice address
395 Main St
Hackensack, NJ 07601-5806
Phone
(201) 646-0333
NPI assigned
Apr 24, 2012
Last updated
Apr 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05468800 NJ Primary

Addresses

Primary practice location

395 Main St
Hackensack, NJ 07601-5806

Mailing address

395 Main St
Hackensack, NJ 07601-5806
Phone (201) 646-0333

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120607000215 NJ Practitioner - Clinical Social Worker 2264696087 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hamilton Behavioral MD PAGroup PAC ID 8426294216, 31 clinicians

Practice addresses (Care Compare)

300 Forest Ave
A
Paramus, NJ 07652-5429
Phone (201) 490-5158

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05468800NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Behavioral Healthcare, Inc. Clinical CurrentSince Apr 17, 2012 Accepting new patients
Hamilton Behavioral MD PA CurrentSince Mar 1, 2021 Accepting new patients
Centra Medical Group, LLC PastSince Mar 1, 2021 Accepting new patients

Locations

395 Main St
Hackensack, NJ 07601
Phone (201) 646-0333

516 Valley Brook Ave
Lyndhurst, NJ 07071
Phone (201) 935-3322

300 Forest Ave
#A
Paramus, NJ 07652
Phone (201) 490-5158

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335225600000",
    "number": "1700144185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015806",
            "telephone_number": "201-646-0333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015806",
            "telephone_number": "201-646-0333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SACHER",
        "first_name": "JEREMY",
        "middle_name": "ANDREW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-24",
        "last_updated": "2012-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05468800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.