Individual provider Active NPI

Sharon J Rukin, LCSW

  • Clinical Social Worker
  • Freehold, NJ
National Provider Identifier
1760454854
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC00085300 Issued in NJ
Practice address
151 Kentucky Way
Freehold, NJ 07728-4630
Phone
(732) 683-9325
NPI assigned
Feb 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC00085300 NJ Primary

Addresses

Primary practice location

151 Kentucky Way
Freehold, NJ 07728-4630

Mailing address

151 Kentucky Way
Freehold, NJ 07728-4630
Phone (732) 683-9325

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20110105000346 NJ Practitioner - Clinical Social Worker 0345439444 Practice locations: Freehold, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

151 Kentucky Way
Freehold, NJ 07728-4630

63 W Main St
Freehold, NJ 07728-4630
Phone (732) 683-0510

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": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760454854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 KENTUCKY WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284630",
            "telephone_number": "732-683-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 KENTUCKY WAY",
            "city": "FREEHOLD",
            "state": "NJ",
            "postal_code": "077284630",
            "telephone_number": "732-683-9325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKIN",
        "first_name": "SHARON",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00085300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freehold, NJ

Sources for this page

Verify at the official NPI Registry.