Active NPI
Denis Eduardo Blumberg LCSW-R
- Community/Behavioral Health Agency
- Oceanside, NY
National Provider Identifier
1013146224
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- R070766-1
- Legal business name
- DENIS EDUARDO BLUMBERG LCSW-R
- Practice address
- 285 Merrifield Ave
Oceanside, NY 11572-2913 - Phone
- (718) 541-0884
- Fax
- (516) 764-1097
- NPI assigned
- Jul 9, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Denis Eduardo Blumberg, LCSW-R
- Title
- Owner
- Phone
- (718) 541-0884
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | R070766-1 | NY | Primary |
Addresses
Primary practice location
285 Merrifield Ave
Oceanside, NY 11572-2913
Mailing address
5619 Metropolitan Ave
Ridgewood, NY 11385-1958
Phone (718) 541-0884
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02847643 | Medicaid | NY |
National Provider Directory
National Provider Directory- Tax ID family
- Denis Eduardo Blumberg LCSW-R
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Ridgewood, NY
- NPI 1811447667
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Ridgewood, NY
- NPI 1467526640
-
- Clinical Social Worker
- Kew Gardens, NY
- NPI 1780693689
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1247097600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1247097600000",
"number": "1013146224",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5619 METROPOLITAN AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851958",
"telephone_number": "718-541-0884",
"fax_number": "718-366-6253"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 MERRIFIELD AVE",
"city": "OCEANSIDE",
"state": "NY",
"postal_code": "115722913",
"telephone_number": "718-541-0884",
"fax_number": "516-764-1097"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENIS EDUARDO BLUMBERG LCSW-R",
"organizational_subpart": "NO",
"enumeration_date": "2009-07-09",
"last_updated": "2009-07-09",
"status": "A",
"authorized_official_last_name": "BLUMBERG",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "EDUARDO",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-541-0884",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW-R"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "R070766-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02847643",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Oceanside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.