Active NPI
J Michael Dzuba, M.S.W.
- Social Worker
- Wilmington, DE
National Provider Identifier
1780710038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- Q1-0000120
- Practice address
- 825 N Washington St
Wilmington, DE 19801-1509 - Phone
- (302) 655-7110
- Fax
- (302) 655-6185
- NPI assigned
- Feb 23, 2007
- Last updated
- Jul 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 | Q1-0000120 | DE | Primary |
Addresses
Primary practice location
825 N Washington St
Wilmington, DE 19801-1509
Mailing address
635 W Sedgwick St
Philadelphia, PA 19119-3442
Phone (215) 849-2747
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
825 N Washington St
Wilmington, DE 19801-1509
Phone (302) 655-7110
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Norman Broudy | Social Worker | Current | Accepting new patients |
Locations
825 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110
827 N Washington St
Wilmington, DE 19801
Phone (302) 655-7110
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Norman Broudy and Associates
- Psychiatry Physician
- Wilmington, DE
- NPI 1457400657
Social Worker
-
- Psychiatry Physician
- Wilmington, DE
- NPI 1346220928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1780710038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 W SEDGWICK ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191193442",
"telephone_number": "215-849-2747"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "825 N WASHINGTON ST",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198011509",
"telephone_number": "302-655-7110",
"fax_number": "302-655-6185"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DZUBA",
"first_name": "J",
"middle_name": "MICHAEL",
"credential": "M.S.W.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "DE",
"license": "Q1-0000120",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, DE
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- Dynamic Therapy Services LLC (Pivot Physical Therapy of Mid Atlantic, LLC)
- Dynamic Therapy Services LLC (Pivot Physical Therapy of Mid Atlantic, LLC)
- Nineka Dyson, LPCMH, NCC
- E J Hertzfeld DDS PA
- E J Hertzfeld DDS PA
- E-Medical Industries, Inc
- Eac Therapy, LLC
- Krystal Ealy, MS, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.