Jacqueline Drozd Sarullo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04714600 Issued in NJ

Practice address

6 Park Ave
Flemington, NJ 08822-1319

Phone

(908) 782-7905

NPI assigned

Mar 8, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316649600000",
    "number": "1770614240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 SAFRAN AVE",
            "address_2": "ATTN: S. GILL",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088373510",
            "telephone_number": "732-738-1323",
            "fax_number": "732-738-6017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 PARK AVE",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088221319",
            "telephone_number": "908-782-7905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SARULLO",
        "first_name": "JACQUELINE",
        "middle_name": "DROZD",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2011-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04714600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph J. Sansevere, DMD
• Matthew Joseph Sansevere, DMD
• Robert Michael Sansevere, DMD
• Jenell L Santiago, MA, LAC, NCC
• Kenisha Santiago, MD
• Deborah J Saunderson, LPC, NCC
• Linda Sauter, RNFA
• Savi Caregivers
• Sharyn Sawczak
• Amita Saxena, M.D.

• Clinical Social Worker in Flemington, NJ
• Providers in Flemington, 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 Sep 22, 2011; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.