Individual provider Active NPI

Milton A Kaufman, LCSW

  • Clinical Social Worker
  • Hackensack, NJ
National Provider Identifier
1770941031
Registry record updated Feb 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05838200 Issued in NJ
Practice address
25 Grand Ave Apt 2B
Hackensack, NJ 07601-4638
Phone
(201) 960-1604
NPI assigned
Feb 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X SW15482 FL
Clinical Social Worker 1041C0700X 44SC05838200 NJ Primary

Addresses

Primary practice location

25 Grand Ave Apt 2B
Hackensack, NJ 07601-4638

Mailing address

25 Grand Ave Apt 2B
Hackensack, NJ 07601-4638
Phone (201) 960-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190314000024 FL Practitioner - Clinical Social Worker 7214277029 Reassigns benefits to 1 organization
Practice locations: Boca Raton, FL
I20190903003099 NJ Practitioner - Clinical Social Worker 7214277029 Practice locations: Hackensack, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Boca Raton, FL 33434
Phone (201) 960-1604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW15482FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Marriage & Family Services, Inc. CurrentSince Oct 29, 2019 Accepting new patients

Locations

15204 S Jog Rd
Ste 303
Delray Beach, FL 33446
Phone (561) 503-3059

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645660800000",
    "number": "1770941031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 GRAND AVE APT 2B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014638",
            "telephone_number": "201-960-1604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 GRAND AVE APT 2B",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076014638",
            "telephone_number": "201-960-1604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "MILTON",
        "middle_name": "A",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-02",
        "last_updated": "2022-02-24",
        "certification_date": "2022-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15482",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05838200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hackensack, NJ

Sources for this page

Verify at the official NPI Registry.