MEDICARE: ALIZA KAPLAN

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
1	104100000X	Social Worker	44SL06301000	NJ

General Provider Information

NPI Number	:	1730757287
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALIZA KAPLAN

Provider Business Mailing Address
First Line	:	30 GREENWOOD AVE
Second Line	:
City	:	WEST ORANGE
State	:	NJ
Zip	:	07052-2012
Country	:	US
Telephone Number	:	973-592-8392
Fax Number	:

Provider Business Practice Location Address
First Line	:	605 VALLEY RD
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07043-1459
Country	:	US
Telephone Number	:	862-902-2611
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2021
Last Update Date	:	06/11/2021

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Directions to “ ALIZA KAPLAN ” Practice Location

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