NPIMap

Organization Active NPI

Elder Life Management LLC

Doing business as Judith S Parnes LLC

  • Clinical Social Worker
  • Tinton Falls, NJ
National Provider Identifier
1891881280
Registry record updated Jan 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC01172000 Issued in NJ
Legal business name
ELDER LIFE MANAGEMENT LLC
Doing business as
Judith S Parnes LLC
Practice address
One Hovchild Blvd 4000 RT 66 Suite 225
Tinton Falls, NJ 07753
Phone
(732) 493-8080
Fax
(732) 493-8810
NPI assigned
Oct 5, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2024

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

Authorized official

Name
Judith S Parnes, LCSW
Title
Executive Director
Phone
(732) 493-8080

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 44SC01172000 NJ Primary

Addresses

Primary practice location

One Hovchild Blvd 4000 RT 66 Suite 225
Tinton Falls, NJ 07753

Mailing address

One Hovchild Blvd 4000 RT 66 Suite 225
Tinton Falls, NJ 07753
Phone (732) 493-8080

Other names 1

  • JUDITH S PARNES LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040422000092 NJ Part B Supplier - Clinic/Group Practice 1153317508 Receives reassigned benefits from 14 practitioners
Practice locations: Tinton Falls, NJ

National Provider Directory

National Provider Directory

Locations

931 W Park Ave
Ste 200
Ocean, NJ 07712

4000 State Route 66
Ste 225
Tinton Falls, NJ 07753

Practitioners & affiliated clinicians

Practitioners 36

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

View all 36

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706486400000",
    "number": "1891881280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE HOVCHILD BLVD 4000 RT 66 SUITE 225",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE HOVCHILD BLVD 4000 RT 66 SUITE 225",
            "city": "TINTON FALLS",
            "state": "NJ",
            "postal_code": "07753",
            "telephone_number": "732-493-8080",
            "fax_number": "732-493-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER LIFE MANAGEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-05",
        "last_updated": "2024-01-29",
        "certification_date": "2024-01-29",
        "status": "A",
        "authorized_official_last_name": "PARNES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "732-493-8080",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC01172000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JUDITH S PARNES LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JUDITH S PARNES LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tinton Falls, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.