Active NPI
Andrey Rusetskiy, LMSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1053586289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 116 John St FL 27
New York, NY 10038-3414 - Phone
- (212) 385-0086
- Fax
- (212) 732-0757
- NPI assigned
- Apr 29, 2008
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
116 John St FL 27
New York, NY 10038-3414
Mailing address
116 John St FL 27
New York, NY 10038-3414
Phone (212) 385-0086
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brooklyn Care Medical PC | Past | Accepting new patients | |
| New Horizon Medical P.C. | Past | Accepting new patients | |
| New York Psychiatric Services, P.C. | Past | Accepting new patients | |
| Cis Counseling Center | Past | Accepting new patients | |
| Cis Counseling Center Inc | Clinical | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1568668119
-
- Health Maintenance Organization
- New York, NY
- NPI 1194030320
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1548324650
Clinical
-
- Adolescent and Children Mental Health Clinic/Center
- Brooklyn, NY
- NPI 1659324192
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1538371018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218499200000",
"number": "1053586289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "116 JOHN ST FL 27",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383414",
"telephone_number": "212-385-0086",
"fax_number": "212-732-0757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 JOHN ST FL 27",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100383414",
"telephone_number": "212-385-0086",
"fax_number": "212-732-0757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSETSKIY",
"first_name": "ANDREY",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-29",
"last_updated": "2008-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.