Active NPI
Jill Ann Pantaleo, LCSW
- Social Worker
- Rochelle Park, NJ
National Provider Identifier
1871774836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SC00265500
- Practice address
- 151 W Passaic St
Second Floor
Rochelle Park, NJ 07662-3105 - Phone
- (201) 926-5550
- NPI assigned
- Nov 19, 2007
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SC00265500 | NJ | Primary |
Addresses
Primary practice location
151 W Passaic St
Second Floor
Rochelle Park, NJ 07662-3105
Mailing address
151 W Passaic St
Second Floor
Rochelle Park, NJ 07662-3105
Phone (201) 926-5550
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 |
|---|---|---|---|
| 44SC00265500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312761600000",
"number": "1871774836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 W PASSAIC ST",
"address_2": "SECOND FLOOR",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623105",
"telephone_number": "201-926-5550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 W PASSAIC ST",
"address_2": "SECOND FLOOR",
"city": "ROCHELLE PARK",
"state": "NJ",
"postal_code": "076623105",
"telephone_number": "201-926-5550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTALEO",
"first_name": "JILL",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-11-19",
"last_updated": "2011-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SC00265500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochelle Park, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.