Individual provider Active NPI

Nathan Greenfeld

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1073986964
Registry record updated Jun 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
097797 Issued in NY
Practice address
18 Middleton St
Brooklyn, NY 11206-5415
Phone
(718) 875-6900
Fax
(718) 875-3282
NPI assigned
Nov 2, 2015
Last updated
Jun 29, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X NU
Social Worker 104100000X 097797 NY Primary

Addresses

Primary practice location

18 Middleton St
Brooklyn, NY 11206-5415

Mailing address

18 Middleton St
Brooklyn, NY 11206-5415
Phone (718) 875-6900

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
I20190329000809 NY Practitioner - Clinical Social Worker 2860732831 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
097797NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Premium Health Inc CurrentSince Feb 23, 2019 Accepting new patients

Locations

620 Foster Ave
Ste 200
Brooklyn, NY 11230
Phone (718) 407-7300

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467158400000",
    "number": "1073986964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 MIDDLETON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065415",
            "telephone_number": "718-875-6900",
            "fax_number": "718-875-3282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENFELD",
        "first_name": "NATHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2016-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "097797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.