Individual provider Active NPI

David Michael Comisar, LCSW-R

  • Clinical Social Worker
  • Rochester, NY
National Provider Identifier
1073663456
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
073315 Issued in NY
Practice address
1880 Ridge Rd E
Rochester, NY 14622-2473
Phone
(585) 455-1544
NPI assigned
Jan 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 073315 NY Primary

Addresses

Primary practice location

1880 Ridge Rd E
Rochester, NY 14622-2473

Mailing address

65 Viennawood Dr
Rochester, NY 14618-4464
Phone (585) 271-3659

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
I20040721000698 NY Practitioner - Clinical Social Worker 7911987904 Practice locations: Rochester, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1880 E Ridge Rd
Rochester, NY 14622-2473
Phone (585) 455-1544

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
073315NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
David Comisar, LCSW, PLLC Current Accepting new patients

Locations

1880 E Ridge Rd
Rochester, NY 14622
Phone (585) 342-9514

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.

NPI Registry JSON

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073663456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 VIENNAWOOD DR",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146184464",
            "telephone_number": "585-271-3659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1880 RIDGE RD E",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146222473",
            "telephone_number": "585-455-1544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMISAR",
        "first_name": "DAVID",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "073315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.