Active NPI
Raymond Harry Perlman, LCSW
- Clinical Social Worker
- Deer Park, NY
National Provider Identifier
1003033036
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PRO21473-1
- Practice address
- 144 Lake Ave
Deer Park, NY 11729-4219 - Phone
- (516) 457-6430
- NPI assigned
- Apr 19, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PRO21473-1 | NY | Primary |
Addresses
Primary practice location
144 Lake Ave
Deer Park, NY 11729-4219
Mailing address
3 Burbank PL
Plainview, NY 11803-5801
Phone (516) 938-5450
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180202001615 | NY | Practitioner - Clinical Social Worker | 6103186507 | Practice locations: Deer Park, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PRO21473-1 | NY | MD | Clinical Social Worker |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1003033036",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 BURBANK PL",
"city": "PLAINVIEW",
"state": "NY",
"postal_code": "118035801",
"telephone_number": "516-938-5450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "144 LAKE AVE",
"city": "DEER PARK",
"state": "NY",
"postal_code": "117294219",
"telephone_number": "516-457-6430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLMAN",
"first_name": "RAYMOND",
"middle_name": "HARRY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PRO21473-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Deer Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.