Jonathan Mateja
Individual provider Active NPI Social Worker · Clifton, NJ
NPI 1801574173 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1801574173
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 44SL06984800 (NJ)
- Practice address
- 53 Orchard St
Clifton, NJ 07013-1832 - Phone
- (973) 773-7600
- NPI assigned
- Jul 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Rutgers New Jersey Medical School, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
53 Orchard St
Clifton, NJ 07013-1832
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812002364 | NJ | Practitioner - Clinical Social Worker | 6901304609 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL06984800 | NJ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adult Family Health Services LLC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL06984800 | NJ | Yes |
Addresses
Primary practice location
53 Orchard St
Clifton, NJ 07013-1832
Mailing address
53 Orchard St
Clifton, NJ 07013-1832
Other providers in Clifton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.