Elderology, Llc - Medicare Mental Health Clinic in Fanwood, NJ

Elderology, Llc is a medicare enrolled mental health clinic (Social Worker - Clinical) in Fanwood, New Jersey. The current practice location for Elderology, Llc is 31 Carsam St, Fanwood, New Jersey. For appointments, you can reach them via phone at (908) 889-0714. The mailing address for Elderology, Llc is 31 Carsam St, Fanwood, New Jersey and phone number is (908) 889-0714.

Elderology, Llc is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1790931269. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (908) 889-0714.

Contact Information

Elderology, Llc
31 Carsam St
Fanwood
NJ 07023-1609
(908) 889-0714
Not Available

Map and Direction


Mental Health Clinic Profile

Full NameElderology, Llc
SpecialitySocial Worker
Location31 Carsam St, Fanwood, New Jersey
Authorized Official Name and PositionCynthia Ann Puchammer (EXECUTIVE DIRECTOR)
Authorized Official Contact9088890714
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Elderology, Llc
31 Carsam St
Fanwood
NJ 07023-1609

Ph: (908) 889-0714
Elderology, Llc
31 Carsam St
Fanwood
NJ 07023-1609

Ph: (908) 889-0714

NPI Details:

NPI Number1790931269
Provider Enumeration Date08/15/2008
Last Update Date08/15/2008

Medicare PECOS Information:

Medicare PECOS PAC ID6507904141
Medicare Enrollment IDO20091119000048

Medical Identifiers

Medical identifiers for Elderology, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1790931269NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health 44SC05307500 (New Jersey)Secondary
1041C0700XSocial Worker - Clinical (* (Not Available))Primary
106H00000XMarriage & Family Therapist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Elderology, Llc acts as a billing entity for following providers:
Provider NameCynthia A Puchammer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1053569756
PECOS PAC ID: 3375605074
Enrollment ID: I20081215000076
Provider NameDorothy S Miles
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1174535694
PECOS PAC ID: 5890975429
Enrollment ID: I20110214000637
Provider NameJessica R O Gara Mankowski
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1922303841
PECOS PAC ID: 5698947166
Enrollment ID: I20111005000037
Provider NameAnn N Houston
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1538304159
PECOS PAC ID: 9032258587
Enrollment ID: I20140915000443
Provider NameBruno Oriti
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1013023688
PECOS PAC ID: 1254634108
Enrollment ID: I20160127000033
Provider NameMichael Becht
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1770887283
PECOS PAC ID: 6901170372
Enrollment ID: I20170922003246
Provider NameLaura Smith
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1134631880
PECOS PAC ID: 2961760723
Enrollment ID: I20171227002660
Provider NameCatherine Prinsell
Provider TypePractitioner - Clinical Psychologist
Provider IdentifiersNPI Number: 1700892452
PECOS PAC ID: 0345318929
Enrollment ID: I20180613003142
Provider NameKathleen Kontely
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1811447881
PECOS PAC ID: 8426300211
Enrollment ID: I20181005000188
Provider NameHolly K Sragow
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1508481888
PECOS PAC ID: 1254758378
Enrollment ID: I20200903000115
Provider NameMecca Constance Cerny
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1114509221
PECOS PAC ID: 6507275492
Enrollment ID: I20210505001548
Provider NameKellyann Selleck
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1932782539
PECOS PAC ID: 4486063799
Enrollment ID: I20210517001141
Provider NameCourtney Fairbanks
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1619498862
PECOS PAC ID: 8921405242
Enrollment ID: I20210929000051
Provider NameArchana Pillai Jeanbaptiste
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1568979367
PECOS PAC ID: 8325438013
Enrollment ID: I20211213001401
Provider NameJulia F Kelly
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1285116749
PECOS PAC ID: 5890180186
Enrollment ID: I20220323003059
Provider NameGreta C Buerkle
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1023545399
PECOS PAC ID: 1456727015
Enrollment ID: I20221021002700
Provider NameYvonne Tancredi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1831533744
PECOS PAC ID: 9830476266
Enrollment ID: I20221223001133
Provider NameOluwafeyisina Faniyi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1639711666
PECOS PAC ID: 4486019502
Enrollment ID: I20230425001261
Provider NameLisa Raphael
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1164104386
PECOS PAC ID: 8224491667
Enrollment ID: I20230831003590
Provider NameRenee F Joyce
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1063193043
PECOS PAC ID: 9931563111
Enrollment ID: I20230907001564
Provider NameRosemary J Erickson
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1629109160
PECOS PAC ID: 5496104036
Enrollment ID: I20231208000257
Provider NameStella Ijeoma Nwachukwu
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1336831718
PECOS PAC ID: 0840636379
Enrollment ID: I20240307000123

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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.