MRS. TAMMY NUSSBAUM MASTERS IN SCIENCE
NPI 1902496532
Counselor - Addiction (Substance Use Disorder) in Clifton, NJ

Q: What is Tammy Nussbaum's NPI number?

The NPI number for Tammy Nussbaum is 1902496532. It was assigned to this individual provider in the NPPES registry on January 18, 2021.

Q: What is Tammy Nussbaum's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Tammy Nussbaum was last updated on November 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.

Active since January 18, 2021PECOS Enrolled

935 ALLWOOD RD STE 300, CLIFTON, NJ 07012(862) 930-5700(973) 707-2383 Get Directions Write a Review

NPPES record last updated: November 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 24, 2025, Jan 24, 2021 (2 updates tracked since 2021).

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About Mrs. Tammy Nussbaum Masters In Science NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. TAMMY NUSSBAUM MASTERS IN SCIENCE (NPI 1902496532) is an individual addiction (substance use disorder) provider in Clifton, New Jersey, licensed in New Jersey (37LC00155200) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1902496532

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameMRS. TAMMY NUSSBAUMCredential: MASTERS IN SCIENCE

Location Address935 ALLWOOD RD STE 300Clifton, NJ 07012-1988

Mailing Address1018 Broad St Ste 6Bloomfield, NJ 07003-2884 · (862) 930-5700 · Fax (973) 707-2383

Phone(862) 930-5700

Fax(973) 707-2383

Sole ProprietorYes

Medical School CMSOtherGraduated 1986

Enumeration DateJanuary 18, 2021

Last NPPES UpdateNovember 24, 20252 updates tracked since enumeration

NPPES CertifiedNovember 24, 2025

✔ NPI 1902496532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

License✔ Licensed in NJ · 37LC00155200

935 ALLWOOD RD STE 300, Clifton, NJ 07012

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Other Identifiers 2

Other37LC0015520NJ · Lcadc

Medicaid1174436NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Tammy Nussbaum Masters In Science is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264913300

PECOS Enrollment IDI20260226000497

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA MAJEWSKI LSW

Social Worker