Active NPI
Mahtab Ayatollahi, MSW LCSW
- Social Worker
- Rahway, NJ
National Provider Identifier
1790267326
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC05806200
- Practice address
- 1600 Saint Georges Ave Ste 118
Rahway, NJ 07065-2713 - Phone
- (848) 236-5091
- Fax
- (848) 236-5092
- NPI assigned
- Aug 30, 2018
- Last updated
- Aug 30, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 44SC05806200 | NJ | Primary |
Addresses
Primary practice location
1600 Saint Georges Ave Ste 118
Rahway, NJ 07065-2713
Mailing address
1600 Saint Georges Ave Ste 118
Rahway, NJ 07065-2713
Phone (848) 236-5091
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC05806200 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535587200000",
"number": "1790267326",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 SAINT GEORGES AVE STE 118",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652713",
"telephone_number": "848-236-5091",
"fax_number": "848-236-5092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 SAINT GEORGES AVE STE 118",
"city": "RAHWAY",
"state": "NJ",
"postal_code": "070652713",
"telephone_number": "848-236-5091",
"fax_number": "848-236-5092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AYATOLLAHI",
"first_name": "MAHTAB",
"credential": "MSW LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-30",
"last_updated": "2018-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC05806200",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rahway, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.