Active NPI
Jacqueline Aviles, LSW
- Social Worker
- Belleville, NJ
National Provider Identifier
1932528569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05762700
- Practice address
- 63 Roosevelt Ave
Belleville, NJ 07109-3401 - Phone
- (973) 388-3232
- Fax
- (973) 759-3891
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05762700 | NJ | Primary |
Addresses
Primary practice location
63 Roosevelt Ave
Belleville, NJ 07109-3401
Mailing address
63 Roosevelt Ave
Belleville, NJ 07109-3401
Phone (973) 388-3232
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 |
|---|---|---|---|
| 44SL05762700 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1397088000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1397088000000",
"number": "1932528569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "63 ROOSEVELT AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093401",
"telephone_number": "973-388-3232",
"fax_number": "973-759-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "63 ROOSEVELT AVE",
"city": "BELLEVILLE",
"state": "NJ",
"postal_code": "071093401",
"telephone_number": "973-388-3232",
"fax_number": "973-759-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVILES",
"first_name": "JACQUELINE",
"name_prefix": "Mrs.",
"credential": "LSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-04-10",
"last_updated": "2014-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05762700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Belleville, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.