Individual provider Active NPI

Sean Prawdzik, MA

  • Case Manager/Care Coordinator
  • Teterboro, NJ
National Provider Identifier
1740863661
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
100 Hollister Rd Unit 7
Teterboro, NJ 07608-1139
Phone
(201) 498-9140
NPI assigned
Apr 29, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X
School Psychologist 103TS0200X
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

100 Hollister Rd Unit 7
Teterboro, NJ 07608-1139

Mailing address

100 Hollister Rd Unit 7
Teterboro, NJ 07608-1139
Phone (201) 498-9140

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Housing, Inc. CurrentSince May 9, 2021 Accepting new patients
Advance Housing, Inc. CurrentSince May 9, 2021 Accepting new patients

Locations

100 Hollister Rd
Unit 7
Teterboro, NJ 07608
Phone (201) 448-6895

Organizations & group practices 2

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": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1740863661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD UNIT 7",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081139",
            "telephone_number": "201-498-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOLLISTER RD UNIT 7",
            "city": "TETERBORO",
            "state": "NJ",
            "postal_code": "076081139",
            "telephone_number": "201-498-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAWDZIK",
        "first_name": "SEAN",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TS0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Teterboro, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.