EDWARD PETRARCA LCSW
NPI 1003986787
Social Worker - Clinical in Montclair, NJ
About Edward Petrarca Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDWARD PETRARCA LCSW (NPI 1003986787) is an individual clinical provider in Montclair, New Jersey, licensed in New Jersey (44SC00016500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack Meridian Health, Mountainside Medical, and is a graduate of Other (1987).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Edward Petrarca Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Edward Petrarca reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Montclair, NJ 07042
- Reassigned Medicare billing, New Jersey enrollment
- 14 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Hackensack Meridian Health, Mountainside Medical
Acute Care Hospitals · Montclair, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
MONTCLAIR, NJ 07042
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edward Petrarca's NPI number?
The NPI number for Edward Petrarca is 1003986787. It was assigned to this individual provider in the NPPES registry on November 9, 2006.
Where is Edward Petrarca located?
Edward Petrarca practices at 1 Bay Ave Mountainside Hospital, Montclair, NJ 07042. The listed phone number is (973) 429-6813.
What is Edward Petrarca's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Edward Petrarca enrolled in Medicare?
Yes. Edward Petrarca is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Edward Petrarca's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edward Petrarca reassigns Medicare benefits to Montclair Hospital LLC (Montclair, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Edward Petrarca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Edward Petrarca affiliated with any hospitals?
According to CMS data, Edward Petrarca is affiliated with Hackensack Meridian Health, Mountainside Medical.
When was this NPI record last updated?
The NPPES record for Edward Petrarca was last updated on July 10, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edward Petrarca, LCSW · NPI 1003986787
Clinical provider in Montclair, New Jersey. Individual provider, active in the CMS NPPES registry since November 9, 2006.
## Identity
- **NPI:** 1003986787 (Entity type: Individual)
- **Enumerated:** November 9, 2006
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 44SC00016500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 1 BAY AVE, MOUNTAINSIDE HOSPITAL, Montclair, NJ 07042-4837
- **Phone:** (973) 429-6813 · **Fax:** (973) 680-7715
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Montclair Hospital LLC (NPI 1386893659, Montclair, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1987
## Record status
- **NPPES last updated:** July 10, 2007
---
Source: [NPI Profile](https://npiprofile.com/npi/1003986787) · Data from the CMS NPPES public registry.