Individual provider Active NPI

Michael Bruno Maschi, LCSW

  • Clinical Social Worker
  • Manasquan, NJ
National Provider Identifier
1942376983
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05191300 Issued in NJ
Practice address
2421 Atlantic Ave
Suite 102
Manasquan, NJ 08736-1000
Phone
(732) 528-5334
Fax
(732) 528-5279
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 44SC05191300 NJ Primary

Addresses

Primary practice location

2421 Atlantic Ave
Suite 102
Manasquan, NJ 08736-1000

Mailing address

3 Sterling LN
Barnegat, NJ 08005-1816
Phone (609) 698-2027

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
44SC05191300NJMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Evers Psychological Associates PC PastSince Mar 6, 2011 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942376983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 STERLING LN",
            "city": "BARNEGAT",
            "state": "NJ",
            "postal_code": "080051816",
            "telephone_number": "609-698-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2421 ATLANTIC AVE",
            "address_2": "SUITE 102",
            "city": "MANASQUAN",
            "state": "NJ",
            "postal_code": "087361000",
            "telephone_number": "732-528-5334",
            "fax_number": "732-528-5279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASCHI",
        "first_name": "MICHAEL",
        "middle_name": "BRUNO",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05191300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manasquan, NJ

Sources for this page

  • 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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.