Individual provider Active NPI

Guy C Pasculli, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1053570598
Registry record updated Oct 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
070332 Issued in NY
Practice address
200 W 18TH St Apt 5H
New York, NY 10011-4521
Phone
(212) 929-5729
NPI assigned
Jun 9, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 070332 NY Primary

Addresses

Primary practice location

200 W 18TH St Apt 5H
New York, NY 10011-4521

Mailing address

200 W 18TH St Apt 5H
New York, NY 10011-4521
Phone (212) 929-5729

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080717000447 NY Practitioner - Clinical Social Worker 7315010782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

200 W 18TH St
Apt 5H
New York, NY 10011-4521
Phone (212) 929-5729

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
070332NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Guy C Pasculli LCSW PC Clinical CurrentSince Feb 1, 2020 Accepting new patients
Catholic Charities Neigborhood Services Clinical Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

260 Madison Ave
Ste 8089
New York, NY 10016
Phone (212) 929-5729

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1053570598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 18TH ST APT 5H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114521",
            "telephone_number": "212-929-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W 18TH ST APT 5H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114521",
            "telephone_number": "212-929-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCULLI",
        "first_name": "GUY",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-09",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "070332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.