Individual provider Active NPI

Masha Belova, LCSW

  • Counselor
  • Kendall Park, NJ
National Provider Identifier
1710361670
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
44SC05458600 Issued in NJ
Practice address
3176 State Route 27 Ste 2B
Kendall Park, NJ 08824-1514
Phone
(732) 743-8277
NPI assigned
Jul 10, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 44SC05458600 NJ Primary

Addresses

Primary practice location

3176 State Route 27 Ste 2B
Kendall Park, NJ 08824-1514

Mailing address

121 Magnolia St
Highland Park, NJ 08904-2242
Phone (850) 559-6737

Other practice location 1

1215 Livingston Ave
North Brunswick, NJ 08902-3834
Phone (732) 743-8277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
Eligible to order & refer
  • Part B services: No
  • 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
I20151231000604 NJ Practitioner - Clinical Social Worker 7416259825 Practice locations: Kendall Park, NJ

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1710361670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MAGNOLIA ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042242",
            "telephone_number": "850-559-6737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3176 STATE ROUTE 27 STE 2B",
            "city": "KENDALL PARK",
            "state": "NJ",
            "postal_code": "088241514",
            "telephone_number": "732-743-8277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1215 Livingston Ave",
            "address_purpose": "LOCATION",
            "city": "North Brunswick",
            "state": "NJ",
            "postal_code": "089023834",
            "country_code": "US",
            "telephone_number": "732-743-8277",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BELOVA",
        "first_name": "MASHA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-07-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC05458600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kendall Park, NJ

Sources for this page

Verify at the official NPI Registry.