Ellen Theresa Jay

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

157 Fox Hollow Rd
Woodbury, NY 11797-1606

Phone

(516) 707-8677

NPI assigned

Apr 10, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1968

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Samuel Field Ym&Ywha

  • Adult Mental Health Clinic/Center
  • Little Neck, NY
  • NPI 1205862950

  Single Specialty

  Medicare reassignment NPD
• Karat Health, Inc.

  • Behavioral Neurology & Neuropsychiatry Physician
  • Long Island City, NY
  • NPI 1093228801

  Single Specialty

  NPD (past)
• United Cerebral Palsy Assoc of Nys Inc.

  • Clinic/Center
  • Woodside, NY
  • NPI 1255496642

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1681084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681084800000",
    "number": "1063107704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 FOX HOLLOW RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971606",
            "telephone_number": "516-707-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 FOX HOLLOW RD",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971606",
            "telephone_number": "516-707-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAY",
        "first_name": "ELLEN",
        "middle_name": "THERESA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-10",
        "last_updated": "2023-04-10",
        "certification_date": "2023-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Island Medical Wellness Rehabilitation PC
• Jessica Lynne Jaeger, RDN
• Marc S Jaffe, D.P.M.
• Uyinoma James Inneh, LMSW
• Susan Jankowitz, OT
• JD My Optics Corp
• Jennifer Auleta Inc
• Tina Myerson Jensen, SLP
• Laurance Jerrold, D.D.S.
• Feba Joseph

• Clinical Social Worker in Woodbury, NY
• Providers in Woodbury, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2023; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.