Active NPI
Banafsheh Sanjari
- Clinical Social Worker
- Fort Lee, NJ
National Provider Identifier
1861112781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093706
- Practice address
- 1432 Anderson Ave FL 2
Fort Lee, NJ 07024-4409 - Phone
- (484) 682-8383
- NPI assigned
- Aug 31, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 093706 | NY | Primary |
Addresses
Primary practice location
1432 Anderson Ave FL 2
Fort Lee, NJ 07024-4409
Mailing address
1432 Anderson Ave FL 2
Fort Lee, NJ 07024-4409
Phone (484) 682-8383
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
| License | State | Type | Specialty |
|---|---|---|---|
| 093706 | NY | MD | Clinical Social Worker |
Interoperability endpoints
- sohomd.banafshehsanjari@157389.advancedmd-direct.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661904000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661904000000",
"number": "1861112781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1432 ANDERSON AVE FL 2",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244409",
"telephone_number": "484-682-8383"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1432 ANDERSON AVE FL 2",
"city": "FORT LEE",
"state": "NJ",
"postal_code": "070244409",
"telephone_number": "484-682-8383"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANJARI",
"first_name": "BANAFSHEH",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-31",
"last_updated": "2022-08-31",
"certification_date": "2022-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093706",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lee, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.