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NPI Code Detail

MEDICARE: MATTHEW BROOKS

MEDICARE: MATTHEW BROOKS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker44SL07405900NJ

General Provider Information

NPI Number : 1689515389
Entity Type Code : Individual
Provider Name (Legal Business Name) : MATTHEW BROOKS
Provider Business Mailing Address
First Line : 15 FARVIEW TER
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2761
Country : US
Telephone Number : 551-579-4441
Fax Number :
Provider Business Practice Location Address
First Line : 15 FARVIEW TER
Second Line :
City : PARAMUS
State : NJ
Zip : 07652-2761
Country : US
Telephone Number : 551-579-4441
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2026
Last Update Date : 04/06/2026

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Directions to “ MATTHEW BROOKS ” Practice Location

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