Active NPI
Danielle N. Malysa, LSW
- Social Worker
- Boonton, NJ
National Provider Identifier
1730628124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06395700
- Practice address
- 130 Powerville Rd
Boonton, NJ 07005 - Phone
- (973) 316-1981
- Fax
- (973) 299-5466
- NPI assigned
- Feb 17, 2017
- 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 | 44SL06395700 | NJ | Primary |
Addresses
Primary practice location
130 Powerville Rd
Boonton, NJ 07005
Mailing address
130 Powerville Rd
Boonton, NJ 07005-8705
Phone (973) 316-1981
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06395700 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danielle Malysa LCSW | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bedminster, NJ
- NPI 1033078845
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533513600000",
"number": "1730628124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 POWERVILLE RD",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070058705",
"telephone_number": "973-316-1981",
"fax_number": "973-299-5466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 POWERVILLE RD",
"city": "BOONTON",
"state": "NJ",
"postal_code": "07005",
"telephone_number": "973-316-1981",
"fax_number": "973-299-5466"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALYSA",
"first_name": "DANIELLE",
"middle_name": "N.",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2018-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06395700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.