Shafer H Zysman

Primary specialty

Social WorkerTaxonomy code 104100000X

License

025669 Issued in NY

Practice address

160 Howells Rd
Suite 2
Bay Shore, NY 11706-5320

Phone

(631) 647-7885

Fax

(631) 647-7893

NPI assigned

Apr 10, 2006

Last updated

May 13, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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

• Stillwater Therapy LCSW P.C.

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1053550624
  Medicare reassignment NPD Authorized official
• Stillwater Occupational Therapy & Social Work Group, PLLC

  • Occupational Therapist
  • Bay Shore, NY
  • NPI 1154384287
  Medicare reassignment NPD
• American Therapy Group

  • Clinical Psychologist
  • Bay Shore, NY
  • NPI 1588804587
  Authorized official Same address or phone
• Metropolitan Psychological & Licensed Master Social Work Services PLLC

  • Clinical Psychologist
  • Bay Shore, NY
  • NPI 1891833588
  NPD (past) Authorized official
• Stillwater Group of America

  • Community/Behavioral Health Agency
  • Bay Shore, NY
  • NPI 1881855195
  Authorized official Same address or phone
• Bay Shore Medical Services, P.C.

  • Addiction Psychiatry Physician
  • Bay Shore, NY
  • NPI 1427379932
  NPD (past)
• Laura E Asner CSW PC

  dba Advanced Counseling Associates

  • Clinical Social Worker
  • Bay Shore, NY
  • NPI 1326079856
  NPD (past)

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

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242172800000",
    "number": "1093778144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 STILLWATER RD",
            "city": "ST JAMES",
            "state": "NY",
            "postal_code": "117803914",
            "telephone_number": "631-686-6359",
            "fax_number": "631-647-7893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 HOWELLS RD",
            "address_2": "SUITE 2",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065320",
            "telephone_number": "631-647-7885",
            "fax_number": "631-647-7893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZYSMAN",
        "first_name": "SHAFER",
        "middle_name": "H",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2009-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "025669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01428344",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Zoumba
• Elisa Zuhoski, RN
• Alexandra Leanne Zurek
• Jeffrey S Zwang, MD
• Rae R Zysman, OTR/L

• Social Worker in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2009; 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.