Active NPI
Susannah Mandel Brill
- Social Worker
- Teaneck, NJ
National Provider Identifier
1932752789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1182 Teaneck Rd
Teaneck, NJ 07666-4824 - Phone
- (646) 369-8723
- NPI assigned
- Jul 22, 2019
- Last updated
- Jul 22, 2019
- 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 | NU | Primary |
Addresses
Primary practice location
1182 Teaneck Rd
Teaneck, NJ 07666-4824
Mailing address
1182 Teaneck Rd
Teaneck, NJ 07666-4824
Phone (646) 369-8723
Other practice location 1
5 Elaine Dr
New City, NY 10956-2604
Phone (646) 369-8723
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
71 Franklin Ave
Midland Park, NJ 07432-1919
Phone (201) 483-7864
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mental Health & Wellness Center LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Social Worker
- Midland Park, NJ
- NPI 1801289111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563753600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563753600000",
"number": "1932752789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1182 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664824",
"telephone_number": "646-369-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1182 TEANECK RD",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076664824",
"telephone_number": "646-369-8723"
}
],
"practiceLocations": [
{
"address_1": "5 Elaine Dr",
"address_purpose": "LOCATION",
"city": "New City",
"state": "NY",
"postal_code": "109562604",
"country_code": "US",
"telephone_number": "646-369-8723",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANDEL BRILL",
"first_name": "SUSANNAH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-22",
"last_updated": "2019-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Teaneck, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.