Individual provider Active NPI

Alan Ira Dolber

  • Clinical Social Worker
  • Manhattan, NY
National Provider Identifier
1083773766
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR009132-1 Issued in NY
Practice address
250 West 57 St.
Suite 501
Manhattan, NY 10019-5014
Phone
(212) 679-6906
Fax
(212) 586-1272
NPI assigned
Dec 8, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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 PR009132-1 NY Primary

Addresses

Primary practice location

250 West 57 St.
Suite 501
Manhattan, NY 10019-5014

Mailing address

25O West 57 St.
Suite 501
New York, NY 10019-5014

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
I20040706001427 NY Practitioner - Clinical Social Worker 9638156789 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1963
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1350 6TH Ave
FL 4
New York, NY 10019-4703
Phone (212) 679-6906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR009132-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
National Institute for the Psychotherapies Training Institute Past Accepting new patients

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": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1083773766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25O WEST 57 ST.",
            "address_2": "SUITE 501",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100195014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WEST 57 ST.",
            "address_2": "SUITE 501",
            "city": "MANHATTAN",
            "state": "NY",
            "postal_code": "100195014",
            "telephone_number": "212-679-6906",
            "fax_number": "212-586-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLBER",
        "first_name": "ALAN",
        "middle_name": "IRA",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR009132-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, NY

Sources for this page

Verify at the official NPI Registry.