Individual provider Active NPI

Urmi Pranay Vaidya-Mathur, LCSW

  • Clinical Social Worker
  • Oradell, NJ
National Provider Identifier
1861780736
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05455400 Issued in NJ
Practice address
660 Kinderkamack Rd #205
Oradell, NJ 07649
Phone
(201) 953-3566
NPI assigned
Jul 13, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 079232-1 NY
Clinical Social Worker 1041C0700X 44SC05455400 NJ Primary

Addresses

Primary practice location

660 Kinderkamack Rd #205
Oradell, NJ 07649

Mailing address

669 Martin Ave
Oradell, NJ 07649
Phone (201) 953-3566

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20160321002130 NJ Practitioner - Clinical Social Worker 7911160221 Reassigns benefits to 1 organization
Practice locations: West Wood, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

220 Kinderkamack Rd
Suite C1
Westwood, NJ 07675-3601
Phone (201) 579-0034

669 Martin Ave
Oradell, NJ 07649-1922

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05455400NJMDClinical Social Worker
079232-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wellqor Psychological Services Northeast, PC Clinical CurrentSince May 20, 2016 Accepting new patients
Epilepsy & Neurophysiology Medical Consulting PC Clinical PastSince Aug 30, 2009 Accepting new patients

Locations

186 Paramus Rd
Paramus, NJ 07652
Phone (201) 251-9600

135 Pinelawn Rd
Ste 204N
Melville, NY 11747
Phone (631) 328-2440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1861780736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "669 MARTIN AVE",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-953-3566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "660 KINDERKAMACK RD #205",
            "city": "ORADELL",
            "state": "NJ",
            "postal_code": "07649",
            "telephone_number": "201-953-3566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAIDYA-MATHUR",
        "first_name": "URMI",
        "middle_name": "PRANAY",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "079232-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05455400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oradell, NJ

Sources for this page

Verify at the official NPI Registry.