Active NPI
Jackie Parisi
- Social Worker
- Kingston, NY
National Provider Identifier
1053726679
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72079331
- Practice address
- 112 Main St
Apt a
Kingston, NY 12401-4475 - Phone
- (845) 863-7696
- NPI assigned
- Jun 23, 2014
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 72079331 | NY | Primary |
Addresses
Primary practice location
112 Main St
Apt a
Kingston, NY 12401-4475
Mailing address
112 Main St
Apt a
Kingston, NY 12401-4475
Phone (845) 863-7696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72079331 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitae Health Medical New York PC | Current | Accepting new patients |
Locations
415 W Golf Rd
Ste 26
Arlington Hts, IL 60005
303 E Wacker Dr
Ste 1127
Chicago, IL 60601
Phone (312) 328-2347
99 Golden Hill Dr
Saint Remy, NY 12401
Phone (845) 240-4299
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Kingston, NY
- NPI 1568169134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403481600000",
"number": "1053726679",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 MAIN ST",
"address_2": "APT A",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014475",
"telephone_number": "845-863-7696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "112 MAIN ST",
"address_2": "APT A",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014475",
"telephone_number": "845-863-7696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARISI",
"first_name": "JACKIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-23",
"last_updated": "2014-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72079331",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2014; 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.