Individual provider Active NPI

Robert J Piersanti, LCSW

  • Clinical Social Worker
  • Pompton Plains, NJ
National Provider Identifier
1902023393
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05193500 Issued in NJ
Practice address
39 Wilrue Pkwy
Pompton Plains, NJ 07444-1717
Phone
(201) 618-3616
NPI assigned
Apr 19, 2007
Last updated
Nov 20, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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 44SC05193500 NJ Primary

Addresses

Primary practice location

39 Wilrue Pkwy
Pompton Plains, NJ 07444-1717

Mailing address

39 Wilrue Pkwy
Pompton Plains, NJ 07444-1717
Phone (201) 618-3616

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL presurgevals.com

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
I20050419000469 NJ Practitioner - Clinical Social Worker 7416995683 Practice locations: Upper Montclair, NJ

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

51 Upper Montclair PLZ
Suite 26
Upper Montclair, NJ 07043-1340
Phone (201) 618-3616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1902023393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 WILRUE PKWY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441717",
            "telephone_number": "201-618-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 WILRUE PKWY",
            "city": "POMPTON PLAINS",
            "state": "NJ",
            "postal_code": "074441717",
            "telephone_number": "201-618-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERSANTI",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05193500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "presurgevals.com",
            "affiliation": "N",
            "address_1": "39 Wilrue Pkwy",
            "city": "Pompton Plains",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "074441717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pompton Plains, NJ

Sources for this page

Verify at the official NPI Registry.