Individual provider Active NPI

Andrea Kozodoy, MSQ

  • Social Worker
  • Cranford, NJ
National Provider Identifier
1750678066
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC04623800 Issued in NJ
Practice address
300 North Ave E
Cranford, NJ 07016-2435
Phone
(908) 276-2244
Fax
(908) 931-0304
NPI assigned
Jul 7, 2011
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC04623800 NJ Primary

Addresses

Primary practice location

300 North Ave E
Cranford, NJ 07016-2435

Mailing address

300 North Ave E
Cranford, NJ 07016-2435
Phone (908) 276-2244

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

LicenseStateTypeSpecialty
44SC04623800NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1750678066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162435",
            "telephone_number": "908-276-2244",
            "fax_number": "908-931-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 NORTH AVE E",
            "city": "CRANFORD",
            "state": "NJ",
            "postal_code": "070162435",
            "telephone_number": "908-276-2244",
            "fax_number": "908-931-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZODOY",
        "first_name": "ANDREA",
        "credential": "MSQ",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-07",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC04623800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranford, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2011; 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.