Individual provider Active NPI

Roxanne Ruiz-Adams, DSW, LCSW

  • Clinical Social Worker
  • Montclair, NJ
National Provider Identifier
1730688128
Registry record updated Oct 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05613200 Issued in NJ
Practice address
70 Park St Ste 104
Montclair, NJ 07042-2960
Phone
(908) 248-4442
NPI assigned
Feb 12, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2020

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 44SC05613200 NJ Primary

Addresses

Primary practice location

70 Park St Ste 104
Montclair, NJ 07042-2960

Mailing address

24 Hillside Ave FL 2
Nutley, NJ 07110-1614
Phone (862) 203-9551

Other practice location 1

24 Hillside Ave Fl 2
Nutley, NJ 07110-1614
Phone (862) 203-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Roxanne Ruiz-Adams, LLC Clinical Current Accepting new patients

Locations

70 Park St
Ste 104
Montclair, NJ 07042
Phone (862) 234-5029

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.

NPI Registry JSON

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1730688128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HILLSIDE AVE FL 2",
            "city": "NUTLEY",
            "state": "NJ",
            "postal_code": "071101614",
            "telephone_number": "862-203-9551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 PARK ST STE 104",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070422960",
            "telephone_number": "908-248-4442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "24 Hillside Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Nutley",
            "state": "NJ",
            "postal_code": "071101614",
            "country_code": "US",
            "telephone_number": "862-203-9551",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUIZ-ADAMS",
        "first_name": "ROXANNE",
        "name_prefix": "Dr.",
        "credential": "DSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05613200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montclair, NJ

Sources for this page

Verify at the official NPI Registry.