Healthcare Provider Details

I. General information

NPI: 1154426435
Provider Name (Legal Business Name): ROBERTO N ALVAREZ MSW/LSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 LYONS AVENUS, NEWARK BETH ISRAEL MEDICAL CENTER WING H-3
NEWARK NJ
07112
US

IV. Provider business mailing address

98 CLEVELAND TER
BLOOMFIELD NJ
07003-2226
US

V. Phone/Fax

Practice location:
  • Phone: 973-926-6935
  • Fax: 973-926-1277
Mailing address:
  • Phone: 973-680-1879
  • Fax: 973-680-1879

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SL00554500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: