Individual provider Active NPI

Sandy Pih Shumar, LMSW, BCBA, MSED

  • Social Worker
  • Paramus, NJ
National Provider Identifier
1710228382
Registry record updated Mar 7, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
074198 Issued in NJ
Practice address
777 Paramus Rd
Paramus, NJ 07652-1710
Phone
(201) 612-7800
Fax
(201) 612-7710
NPI assigned
Mar 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Analyst 103K00000X 1095583 NY
Social Worker 104100000X 074198 NJ Primary

Addresses

Primary practice location

777 Paramus Rd
Paramus, NJ 07652-1710

Mailing address

777 Paramus Road
Paramus, NJ 07652
Phone (201) 612-7800

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

State licenses

LicenseStateTypeSpecialty
1095583NYMDBehavioral Analyst
074198NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1362614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1362614400000",
    "number": "1710228382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 PARAMUS ROAD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "07652",
            "telephone_number": "201-612-7800",
            "fax_number": "201-612-7710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 PARAMUS RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076521710",
            "telephone_number": "201-612-7800",
            "fax_number": "201-612-7710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHUMAR",
        "first_name": "SANDY",
        "middle_name": "PIH",
        "credential": "LMSW, BCBA, MSED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-07",
        "last_updated": "2013-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "",
            "desc": "Behavior Analyst",
            "state": "NY",
            "license": "1095583",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "074198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paramus, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.