NPIMap

Organization Active NPI

The Marion and Aaron Gural JCC Inc

  • Clinical Social Worker
  • Cedarhurst, NY
National Provider Identifier
1104870203
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0558111 Issued in NY
Legal business name
THE MARION AND AARON GURAL JCC INC
Practice address
207 Grove Ave.
Cedarhurst, NY 11516
Phone
(516) 569-6733
Fax
(516) 569-6917
NPI assigned
May 22, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Authorized official

Name
Mr. Robert Daniels
Title
Cfo
Phone
(516) 569-6733

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 0558111 NY Primary

Addresses

Primary practice location

207 Grove Ave.
Cedarhurst, NY 11516

Mailing address

207 Grove Ave.
Cedarhurst, NY 11516
Phone (516) 569-6733

Other names 1

  • JCC of the Greater Five Towns Inc Doing business as

National Provider Directory

National Provider Directory

Locations

207 Grove Ave
Cedarhurst, NY 11516
Phone (516) 569-6733

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758153600000",
    "number": "1104870203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 GROVE AVE.",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "516-569-6733",
            "fax_number": "516-569-6917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 GROVE AVE.",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "11516",
            "telephone_number": "516-569-6733",
            "fax_number": "516-569-6917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MARION AND AARON GURAL JCC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-22",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A",
        "authorized_official_last_name": "DANIELS",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "516-569-6733",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0558111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JCC of the Greater Five Towns Inc",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "JCC of the Greater Five Towns Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.