Jessica Plonchak

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05795600 Issued in NJ

Practice address

255 Sherman Ave
Teaneck, NJ 07666-3310

Phone

(201) 370-5918

NPI assigned

Aug 29, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Uzar PCGroup PAC ID 3779012570, 3 clinicians

Vantage Health System, IncGroup PAC ID 8325033178, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Uzar PC

  • Mental Health Counselor
  • Toms River, NJ
  • NPI 1588471155
  Medicare reassignment Care Compare group NPD
• Vantage Health System, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Dumont, NJ
  • NPI 1518939917
  Medicare reassignment Care Compare group NPD
• Imge Rehabilitation LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Iselin, NJ
  • NPI 1760965065
  Medicare reassignment NPD
• Choicepoint LLC

  • Addiction Medicine (Family Medicine) Physician
  • Fair Lawn, NJ
  • NPI 1215702576

  Clinical

  NPD
• Choicepoint LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fair Lawn, NJ
  • NPI 1831702562
  NPD
• Vantage Health System, Inc.

  • Community/Behavioral Health Agency
  • Englewood, NJ
  • NPI 1144354861
  NPD

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1750837803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 SHERMAN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663310",
            "telephone_number": "201-370-5918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 SHERMAN AVE",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076663310",
            "telephone_number": "201-370-5918"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLONCHAK",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00291400",
            "primary": false
        },
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "NJ",
            "license": "44SL05751800",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "NJ",
            "license": "44SL05751800",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05795600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren E Pine-Bildner, C.N,M.
• Ariana Pinsker-Lehrer, LMSW
• Judith Pinto, M.D.
• Dalia Planer, OTD
• Dorienne Sasto Planer, M.D.
• Mariana Polanco, L.S.A.
• Alicia Leigh Poleshuk, PH.D.
• Elizabeth Mary Policano
• Marc David Polimeni, MD
• Rivkie Pollack, OTR/L

• Clinical Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.