Active NPI
Andrew Boro Ngugi
- Social Worker
- Fair Lawn, NJ
National Provider Identifier
1740029321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06758500
- Practice address
- 16-01 Broadway
Fair Lawn, NJ 07410-2026 - Phone
- (201) 797-0001
- NPI assigned
- May 22, 2024
- Last updated
- May 22, 2024
- Sex
- Male
- 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 | 44SL06758500 | NJ | Primary |
Addresses
Primary practice location
16-01 Broadway
Fair Lawn, NJ 07410-2026
Mailing address
211 New Milford Ave
Dumont, NJ 07628-2823
Phone (201) 665-9800
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
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": "1716336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716336000000",
"number": "1740029321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 NEW MILFORD AVE",
"city": "DUMONT",
"state": "NJ",
"postal_code": "076282823",
"telephone_number": "201-665-9800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16-01 BROADWAY",
"city": "FAIR LAWN",
"state": "NJ",
"postal_code": "074102026",
"telephone_number": "201-797-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUGI",
"first_name": "ANDREW",
"middle_name": "BORO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-05-22",
"last_updated": "2024-05-22",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06758500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Lawn, NJ
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 00251)
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 05427)
- New Jersey CVS Pharmacy LLC (CVS Pharmacy 02093)
- New Jersey Endosurgical Spine and Pain Center LLC
- New Lifestyle Medical PA
- Josh M Nguyen
- Nicole E. Grace, LCSW, Psya, LLC
- Urszula Nieznalska, PT
- Jennifer Nims
- NJ Dental Partners One LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.