Individual provider Active NPI

Edward Ross Einbinder, LMSW.

  • Addiction (Substance Use Disorder) Counselor
  • New York, NY
National Provider Identifier
1114395704
Registry record updated Sep 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
094417 Issued in NY
Practice address
303 5TH Ave
1407
New York, NY 10016-6601
Phone
(212) 213-8905
NPI assigned
Sep 13, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 094417 NY Primary

Addresses

Primary practice location

303 5TH Ave
1407
New York, NY 10016-6601

Mailing address

111 E 85TH St
26D
New York, NY 10028-0958
Phone (917) 734-7231

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Dec 14, 2021 through Dec 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
094417NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Living Psychological Services, PC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1442102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442102400000",
    "number": "1114395704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 85TH ST",
            "address_2": "26D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280958",
            "telephone_number": "917-734-7231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 5TH AVE",
            "address_2": "1407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166601",
            "telephone_number": "212-213-8905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EINBINDER",
        "first_name": "EDWARD",
        "middle_name": "ROSS",
        "name_prefix": "Mr.",
        "credential": "LMSW.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-09-13",
        "last_updated": "2015-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "094417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.