Active NPI
Joshua Zisholtz, LCSW
- Clinical Social Worker
- South Orange, NJ
National Provider Identifier
1912475831
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 093633
- Practice address
- 32 Rynda Rd
South Orange, NJ 07079-1463 - Phone
- (310) 592-7584
- NPI assigned
- Nov 8, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC0615200 | NJ | |
| Clinical Social Worker | 1041C0700X | 093633 | NY | Primary |
Addresses
Primary practice location
32 Rynda Rd
South Orange, NJ 07079-1463
Mailing address
32 Rynda Rd
South Orange, NJ 07079-1463
Phone (310) 592-7584
Other practice location 1
19 W 34th St
New York, NY 10001-3006
Phone (310) 592-7584
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 |
|---|---|---|---|
| 44SC0615200 | NJ | MD | Clinical Social Worker |
| 093633 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1912475831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32 RYNDA RD",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791463",
"telephone_number": "310-592-7584"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32 RYNDA RD",
"city": "SOUTH ORANGE",
"state": "NJ",
"postal_code": "070791463",
"telephone_number": "310-592-7584"
}
],
"practiceLocations": [
{
"address_1": "19 W 34th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100013006",
"country_code": "US",
"telephone_number": "310-592-7584",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZISHOLTZ",
"first_name": "JOSHUA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-11-08",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC0615200",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "093633",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.