NPIMap

Organization Active NPI

Comprehensive Care Services Inc

  • Social Worker
  • Edison, NJ
National Provider Identifier
1871634055
Registry record updated May 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL05223100 Issued in NJ
Legal business name
COMPREHENSIVE CARE SERVICES INC
Practice address
4 Ethel Road
Suite 404
Edison, NJ 08817
Phone
(732) 287-4044
Fax
(732) 287-0211
NPI assigned
Feb 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2008

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

Authorized official

Name
Irina Ivanov, MSWNPI 1417080466
Title
President Director
Phone
(732) 287-4044

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X 44SL05223100 NJ Primary

Addresses

Primary practice location

4 Ethel Road
Suite 404
Edison, NJ 08817

Mailing address

4 Ethel Road
Suite 404
Edison, NJ 08817
Phone (732) 287-4044

Other identifiers 2

IdentifierTypeStateIssuer
0057789MedicaidNJ
0060364OtherNJWORK FIRST

National Provider Directory

National Provider Directory

Locations

4 Ethel Rd
Ste 404
Edison, NJ 08817
Phone (732) 287-4044

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212019200000",
    "number": "1871634055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ETHEL ROAD",
            "address_2": "SUITE 404",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "732-287-4044",
            "fax_number": "732-287-0211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 ETHEL ROAD",
            "address_2": "SUITE 404",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "08817",
            "telephone_number": "732-287-4044",
            "fax_number": "732-287-0211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE CARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-09",
        "last_updated": "2008-05-29",
        "status": "A",
        "authorized_official_last_name": "IVANOV",
        "authorized_official_first_name": "IRINA",
        "authorized_official_title_or_position": "PRESIDENT DIRECTOR",
        "authorized_official_telephone_number": "732-287-4044",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL05223100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0057789",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORK FIRST",
            "identifier": "0060364",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edison, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2008; 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.