Active NPI
John Villada, LSW
- Social Worker
- Boonton, NJ
National Provider Identifier
1760926570
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05911500
- Practice address
- 10 Cooper Dr
Boonton, NJ 07005-1212 - Phone
- (973) 229-8899
- NPI assigned
- Dec 13, 2016
- Last updated
- Dec 13, 2016
- 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 | 44SL05911500 | NJ | Primary |
Addresses
Primary practice location
10 Cooper Dr
Boonton, NJ 07005-1212
Mailing address
10 Cooper Dr
Boonton, NJ 07005-1212
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
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05911500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1481587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481587200000",
"number": "1760926570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 COOPER DR",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070051212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 COOPER DR",
"city": "BOONTON",
"state": "NJ",
"postal_code": "070051212",
"telephone_number": "973-229-8899"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLADA",
"first_name": "JOHN",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-12-13",
"last_updated": "2016-12-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05911500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Boonton, NJ
- Leilah M Tyree, CNM
- Marissa Ur
- Elizabeth Davie Vandusen, MPS, ATR-BC, LPAT
- Kamila Veljkovic, CNS
- Victoria Mews Assisted Living Community of Boonton TWP
- Juliet Maria Villegas, DO
- Anjali Chinmay Vyas
- Jennifer Lynn Wagner, MSOTR/L
- Wal-Mart Stores East LP (Walmart Pharmacy 10-5077)
- Wal-Mart Stores East, LP (Vision Center 30-5077)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.