Nuris Rodriguez-Pabon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05994200 Issued in NJ

Practice address

317 Main St
Metuchen, NJ 08840-2433

Phone

(646) 508-1582

NPI assigned

Sep 30, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ironbound Community Health Center IncGroup PAC ID 1254748759, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

All facility ownership & control disclosures 1

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

Owned or controlled facilities with NPI records 1

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

• Ironbound Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1619568227

  5% Or Greater Direct Ownership Interest, Corporate Director, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee

  CMS ownership

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.

• Ironbound Community Health Center Inc

  • Federally Qualified Health Center (FQHC)
  • Newark, NJ
  • NPI 1619568227
  Care Compare group NPD Authorized official
• County of Middlesex

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Perth Amboy, NJ
  • NPI 1437245800
  Medicare reassignment NPD
• County of Middlesex

  • Public Health or Welfare Agency
  • East Brunswick, NJ
  • NPI 1023148178
  NPD
• Ironbound Community Health Center Inc

  • Clinic/Center
  • Newark, NJ
  • NPI 1932798436
  NPD

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

{
    "created_epoch": "1475193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642377600000",
    "number": "1841749991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "317 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402433",
            "telephone_number": "646-508-1582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 MAIN ST",
            "city": "METUCHEN",
            "state": "NJ",
            "postal_code": "088402433",
            "telephone_number": "646-508-1582"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "788 Mount Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071043221",
            "country_code": "US",
            "telephone_number": "973-221-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ-PABON",
        "first_name": "NURIS",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-30",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06200700",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05994200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLINICAL LICENSE",
            "identifier": "44SCO5994200",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Newark",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "788 Mount Prospect Ave",
            "city": "Newark",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "071043221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ren Zhou,MD
• Caesar Michael Revano, D.D.S.
• Richard D. Marulli, D.M.D. & Arthur Calavni, Jr., D.M.D., P.a.
• Alyssa Rios, MD
• Robert J. Urciuoli, DC, Dabco
• Darkis Rodriguez, LSW
• Jenny Chen Rong
• Ronnie L. McLean
• Howard Warren Rosenblum, MD
• William H Rossy, M.D.

• Clinical Social Worker in Metuchen, NJ
• Providers in Metuchen, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.