Active NPI
Yakov Buxbaum, LCSW
- Clinical Social Worker
- Spring Valley, NY
National Provider Identifier
1053981936
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 091644
- Practice address
- 12 Jackson Ave
Spring Valley, NY 10977-1908 - Phone
- (845) 270-4578
- Fax
- (845) 675-4987
- NPI assigned
- Jul 1, 2021
- 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 | 091644 | NY | Primary |
Addresses
Primary practice location
12 Jackson Ave
Spring Valley, NY 10977-1908
Mailing address
19 Taft LN # 201
Spring Valley, NY 10977-1924
Phone (845) 270-4578
Other names 1
- Yakov Buxbaum
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Assistance Resources & Extended Services Inc | Current | Accepting new patients |
Locations
465 Grand St
New York, NY 10002
Phone (212) 420-1970
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.
-
dba C.a.R.E.S.
- Case Management Agency
- New York, NY
- NPI 1396049987
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1053981936",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TAFT LN # 201",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771924",
"telephone_number": "845-270-4578",
"fax_number": "845-675-4987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 JACKSON AVE",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109771908",
"telephone_number": "845-270-4578",
"fax_number": "845-675-4987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUXBAUM",
"first_name": "YAKOV",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-07-01",
"last_updated": "2021-07-01",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "091644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YAKOV",
"last_name": "BUXBAUM",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.