Individual provider Active NPI

David Kezur, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1114156627
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO 39627-1 Issued in NY
Practice address
1327 Lexington Ave
Suite 1 H
New York, NY 10128-1109
Phone
(212) 360-6216
NPI assigned
Jul 6, 2009
Last updated
Jul 6, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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 RO 39627-1 NY Primary

Addresses

Primary practice location

1327 Lexington Ave
Suite 1 H
New York, NY 10128-1109

Mailing address

1327 Lexington Ave
Suite 1 H
New York, NY 10128-1109
Phone (212) 360-6216

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO 39627-1NYMDClinical Social Worker
039627NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1114156627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1327 LEXINGTON AVE",
            "address_2": "SUITE 1 H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281109",
            "telephone_number": "212-360-6216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1327 LEXINGTON AVE",
            "address_2": "SUITE 1 H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101281109",
            "telephone_number": "212-360-6216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEZUR",
        "first_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-06",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO 39627-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.