Individual provider Active NPI

Jodi Noel Pultorak, LCSW

  • Social Worker
  • Robbinsville, NJ
National Provider Identifier
1821754078
Registry record updated Jun 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SC05380800 Issued in NJ
Practice address
503 Circle Dr
Robbinsville, NJ 08691-1526
Phone
(609) 651-3036
NPI assigned
Nov 11, 2021
Reactivated
Jun 20, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SC05380800 NJ Primary

Addresses

Primary practice location

503 Circle Dr
Robbinsville, NJ 08691-1526

Mailing address

503 Circle Dr
Robbinsville, NJ 08691-1526
Phone (609) 651-3036

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Jodi.Pultorak@gmail.com Other

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
44SC05380800NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1636588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1821754078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "503 CIRCLE DR",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911526",
            "telephone_number": "609-651-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "503 CIRCLE DR",
            "city": "ROBBINSVILLE",
            "state": "NJ",
            "postal_code": "086911526",
            "telephone_number": "609-651-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULTORAK",
        "first_name": "JODI",
        "middle_name": "NOEL",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-11",
        "last_updated": "2025-06-20",
        "certification_date": "2022-12-12",
        "deactivation_date": "2022-12-12",
        "reactivation_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SC05380800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Jodi.Pultorak@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Jodi.Pultorak@gmail.com",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "503 Circle Dr",
            "city": "Robbinsville",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "086911526",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Robbinsville, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.