Provider Demographics
NPI:1508655705
Name:BUSS, PAIGE COURTNEY
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:COURTNEY
Last Name:BUSS
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:147 12TH ST # 2
Mailing Address - Street 2:
Mailing Address - City:WOOD RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07075-1902
Mailing Address - Country:US
Mailing Address - Phone:201-458-3340
Mailing Address - Fax:
Practice Address - Street 1:147 12TH ST
Practice Address - Street 2:
Practice Address - City:WOOD RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07075-1902
Practice Address - Country:US
Practice Address - Phone:201-458-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-05
Last Update Date:2025-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SL06989100104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker