Active NPI
David Pisani, R.N.
- Social Worker
- Sparta, NJ
National Provider Identifier
1790120723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL06000000
- Practice address
- 9 Fishers LN
Sparta, NJ 07871-2440 - Phone
- (973) 726-4533
- NPI assigned
- May 3, 2013
- Last updated
- Oct 3, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06000000 | NJ | Primary |
| Registered Nurse | 163W00000X | 560564 | NY |
Addresses
Primary practice location
9 Fishers LN
Sparta, NJ 07871-2440
Mailing address
9 Fishers LN
Sparta, NJ 07871-2440
Phone (973) 726-5433
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)
- Enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06000000 | NJ | MD | Social Worker |
| 560564 | NY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakeside Counseling Associates, LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Sparta, NJ
- NPI 1578010674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1367539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1790120723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 FISHERS LN",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712440",
"telephone_number": "973-726-5433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 FISHERS LN",
"city": "SPARTA",
"state": "NJ",
"postal_code": "078712440",
"telephone_number": "973-726-4533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PISANI",
"first_name": "DAVID",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-03",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL06000000",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "560564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparta, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.