Communitopia

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC00856100 Issued in NJ

Legal business name

COMMUNITOPIA

Practice address

2101 Lincoln Hwy
Edison, NJ 08817-3329

Phone

(973) 979-6144

NPI assigned

Apr 18, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Khadijah Ismael

Title

Board of Director

Phone

(973) 979-6144

Specialties & licenses 9

Addresses

Locations

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

{
    "created_epoch": "1460937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460937600000",
    "number": "1902250731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 LINCOLN HWY",
            "address_2": "404",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 LINCOLN HWY",
            "city": "EDISON",
            "state": "NJ",
            "postal_code": "088173329",
            "telephone_number": "973-979-6144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITOPIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-18",
        "last_updated": "2016-04-18",
        "status": "A",
        "authorized_official_last_name": "ISMAEL",
        "authorized_official_first_name": "KHADIJAH",
        "authorized_official_title_or_position": "BOARD OF DIRECTOR",
        "authorized_official_telephone_number": "973-979-6144",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SC00856100",
            "primary": false
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "NJ",
            "license": "44SL06046000",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "44SC00856100",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "44SL06046000",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NJ",
            "license": "44SC00856100",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "44SC00856100",
            "primary": false
        },
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NJ",
            "license": "44SL06046000",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC00856100",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SL06046000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Collins, M.D.
• Giselle Collins, REGISTERED NURSE
• Harry Collins, MD
• Colonial Village Medical,P.C.
• Nancy Marie Colorado, RBT
• Community Hospital Group (JFK Multi-Specialty Group)
• Community Hospital Group Inc (Center for Behavioral Health)
• Community Hospital Group Inc (JFK Johnson Rehabilitation Institute)
• Community Hospital Group Inc (JFK Jri P&O Lab)
• Community Hospital Group Inc (Jri Physical Medicine)

• Clinical Social Worker in Edison, NJ
• Providers in Edison, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2016; 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.