Denise N Imundo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC04889300 Issued in NJ

Practice address

570 Lee St
Perth Amboy, NJ 08861-3053

Phone

(732) 376-6700

NPI assigned

May 4, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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

• County of Middlesex

  dba Middlesex County Public Health

  • Public Health or Welfare Agency
  • East Brunswick, NJ
  • NPI 1023148178
  NPD
• County of Middlesex

  dba George J. Otlowski, Sr.-Center for Mental Health Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Perth Amboy, NJ
  • NPI 1437245800
  NPD

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932311776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "142 ELLENEL BLVD",
            "city": "SPOTSWOOD",
            "state": "NJ",
            "postal_code": "088841133",
            "telephone_number": "732-416-1031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "570 LEE ST",
            "city": "PERTH AMBOY",
            "state": "NJ",
            "postal_code": "088613053",
            "telephone_number": "732-376-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMUNDO",
        "first_name": "DENISE",
        "middle_name": "N",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC04889300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syeda Hussain
• I Lasered It LLC
• Hiyam Ibrahim, MD
• Asfandyar Ibrar, MD
• Sheema Imran, M.D.
• Inspire - Renew - Transform LLC
• Alaa Irshad, MD
• Sally A Isaacs, MSN, APN, FNP, CSN
• Mohammed Islam, MD
• Nafisa Islam

• Clinical Social Worker in Perth Amboy, NJ
• Providers in Perth Amboy, 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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.