Individual provider Active NPI

Lee G. Ruszczyk, LCSW

  • Clinical Social Worker
  • Howell, NJ
National Provider Identifier
1780747451
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC04734100 Issued in NJ
Practice address
5144 US Highway 9
Howell, NJ 07731-3357
Phone
(908) 910-8296
NPI assigned
Dec 17, 2006
Sex
Male
Sole proprietor
Yes

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 44SC04734100 NJ Primary

Addresses

Primary practice location

5144 US Highway 9
Howell, NJ 07731-3357

Mailing address

PO Box 1924
Brick, NJ 08723-1071
Phone (908) 910-8286

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
I20141021000101 NJ Practitioner - Clinical Social Worker 7719108521 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Henry J Austin Health Center, IncGroup PAC ID 9739179409, 23 clinicians

Practice addresses (Care Compare)

321 N Warren St
Trenton, NJ 08618-4741
Phone (609) 278-6029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Henry J Austin Health Center, IncTrenton, NJ, CCN 311942 Federally qualified health center W-2 Managing Employee Dec 1, 2014
Henry J Austin Health Center, IncTrenton, NJ, CCN 311944 Federally qualified health center W-2 Managing Employee
Operational/Managerial Control
Dec 1, 2014
Dec 1, 2014
Henry J Austin Health Center, IncTrenton, NJ, CCN 311946 Federally qualified health center W-2 Managing Employee Oct 18, 2019

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780747451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1924",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087231071",
            "telephone_number": "908-910-8286",
            "fax_number": "732-836-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5144 US HIGHWAY 9",
            "city": "HOWELL",
            "state": "NJ",
            "postal_code": "077313357",
            "telephone_number": "908-910-8296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSZCZYK",
        "first_name": "LEE",
        "middle_name": "G.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04734100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Howell, NJ

Sources for this page

Verify at the official NPI Registry.