Jamie L. Coyne

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05452500 Issued in NJ

Practice address

68 Oliver PL
Ringwood, NJ 07456-2137

Phone

(201) 749-1846

NPI assigned

Oct 3, 2011

Sex

Female

Sole proprietor

Yes

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

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1317600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567555200000",
    "number": "1982988481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 OLIVER PL",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562137",
            "telephone_number": "973-270-4315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 OLIVER PL",
            "city": "RINGWOOD",
            "state": "NJ",
            "postal_code": "074562137",
            "telephone_number": "201-749-1846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20 Greenwood Lake Tpke",
            "address_purpose": "LOCATION",
            "city": "Ringwood",
            "state": "NJ",
            "postal_code": "074561500",
            "country_code": "US",
            "telephone_number": "973-270-4315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COYNE",
        "first_name": "JAMIE",
        "middle_name": "L.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-03",
        "last_updated": "2019-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05452500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Ringwood, NJ
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2019; 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.