Individual provider Active NPI

Christine Sukovich, MSW

  • Social Worker
  • East Brunswick, NJ
National Provider Identifier
1710127162
Registry record updated Feb 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05332200 Issued in NJ
Practice address
288 Rues LN
East Brunswick, NJ 08816-5699
Phone
(732) 257-6100
Fax
(732) 651-9834
NPI assigned
Feb 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2009

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 44SL05332200 NJ Primary

Addresses

Primary practice location

288 Rues LN
East Brunswick, NJ 08816-5699

Mailing address

288 Rues LN
East Brunswick, NJ 08816-5699
Phone (732) 257-6100

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
I20091006000105 NJ Practitioner - Clinical Social Worker 5698811602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Oaks Integrated CareGroup PAC ID 6709961857, 32 clinicians
Senior Care Therapy LLCGroup PAC ID 0547335366, 140 clinicians

Practice addresses (Care Compare)

314 316 E State St
Trenton, NJ 08608-1810
Phone (609) 396-5944

85 Crescent Ave
Passaic, NJ 07055-2437
Phone (973) 264-0023

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SL05332200NJMDSocial Worker

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": "1235520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235520000000",
    "number": "1710127162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165699",
            "telephone_number": "732-257-6100",
            "fax_number": "732-651-9834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 RUES LN",
            "city": "EAST BRUNSWICK",
            "state": "NJ",
            "postal_code": "088165699",
            "telephone_number": "732-257-6100",
            "fax_number": "732-651-9834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUKOVICH",
        "first_name": "CHRISTINE",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-25",
        "last_updated": "2009-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05332200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Brunswick, NJ

Sources for this page

Verify at the official NPI Registry.