Individual provider Active NPI

Stephanie Albuquerque Quiroga, LCSW

  • Clinical Social Worker
  • Old Bridge, NJ
National Provider Identifier
1871083576
Registry record updated Jan 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05778400 Issued in NJ
Practice address
11 Stevens Ave
Old Bridge, NJ 08857-2303
Phone
(908) 256-4327
Fax
(732) 235-8091
NPI assigned
May 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05778400 NJ Primary

Addresses

Primary practice location

11 Stevens Ave
Old Bridge, NJ 08857-2303

Mailing address

11 Stevens Ave
Old Bridge, NJ 08857-2303
Phone (908) 256-4327

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
I20240318002114 NJ Practitioner - Clinical Social Worker 2062859705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Medical Care,PCGroup PAC ID 0941274716, 12 clinicians

Practice addresses (Care Compare)

100 Belchase Dr
Suite 101
Matawan, NJ 07747-9728
Phone (732) 707-4100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Jersey Medical Care,PC CurrentSince Apr 16, 2024 Accepting new patients

Locations

100 Belchase Dr
Ste 101
Matawan, NJ 07747
Phone (732) 290-1660

Organizations & group practices 1

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": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672790400000",
    "number": "1871083576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 STEVENS AVE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572303",
            "telephone_number": "908-256-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 STEVENS AVE",
            "city": "OLD BRIDGE",
            "state": "NJ",
            "postal_code": "088572303",
            "telephone_number": "908-256-4327",
            "fax_number": "732-235-8091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROGA",
        "first_name": "STEPHANIE",
        "middle_name": "ALBUQUERQUE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2023-01-04",
        "certification_date": "2023-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05778400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Bridge, NJ

Sources for this page

Verify at the official NPI Registry.