Individual provider Active NPI

Tristan Brooks

  • Clinical Social Worker
  • East Orange, NJ
National Provider Identifier
1902798937
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
175 Prospect St
East Orange, NJ 07017-2654
Phone
(973) 544-8334
NPI assigned
Jul 15, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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 NJ Primary

Addresses

Primary practice location

175 Prospect St
East Orange, NJ 07017-2654

Mailing address

6 Barry Dr
West Orange, NJ 07052-3524
Phone (973) 626-3056

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
I20260605000721 NJ Practitioner - Clinical Social Worker 4183195670 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

177 Valley St
South Orange, NJ 07079-2836

6 Barry Dr
West Orange, NJ 07052-3524

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Chosen Path Wellness Clinical CurrentSince Jul 22, 2025 Accepting new patients

Locations

177 Valley St
South Orange, NJ 07079
Phone (862) 206-4072

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1902798937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BARRY DR",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070523524",
            "telephone_number": "973-626-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 PROSPECT ST",
            "city": "EAST ORANGE",
            "state": "NJ",
            "postal_code": "070172654",
            "telephone_number": "973-544-8334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROOKS",
        "first_name": "TRISTAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-07-15",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Orange, NJ

Sources for this page

Verify at the official NPI Registry.