=====================================================
General NPI Number Information
=====================================================
NPI Number | 1508743469
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ROSEMARY SENGUL
-----------------------------------------------------
Gender |
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/20/2025
-----------------------------------------------------
Last Update Date | 08/20/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 408 PAULDING AVE STE 2B
-----------------------------------------------------
City | NORTHVALE
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07647-1428
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 201-719-5919
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 32 COLGATE ST
-----------------------------------------------------
City | CLOSTER
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07624-1508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 631-488-8965
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 44SL07241600
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------