Organization Active NPI

Guy C Pasculli LCSW PC

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1114558384
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GUY C PASCULLI LCSW PC
Practice address
260 Madison Ave Ste 8089
New York, NY 10016-2400
Phone
(212) 929-5729
Fax
(315) 750-3224
NPI assigned
Jan 28, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Authorized official

Name
Mr. Guy C Pasculli, LCSWNPI 1053570598
Title
Owner
Phone
(212) 929-5729

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

260 Madison Ave Ste 8089
New York, NY 10016-2400

Mailing address

200 W 18TH St Apt 5H
New York, NY 10011-4521
Phone (212) 929-5729

Other identifiers 1

IdentifierTypeStateIssuer
1041C0700XMedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200407002700 NY Part B Supplier - Clinic/Group Practice 5890124135 Receives reassigned benefits from 1 practitioner
Practice locations: New York, NY

National Provider Directory

National Provider Directory

Locations

260 Madison Ave
Ste 8089
New York, NY 10016
Phone (212) 929-5729

Practitioners & affiliated clinicians

Practitioners 2

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": "1580169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580169600000",
    "number": "1114558384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W 18TH ST APT 5H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100114521",
            "telephone_number": "212-929-5729",
            "fax_number": "315-750-3224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 MADISON AVE STE 8089",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100162400",
            "telephone_number": "212-929-5729",
            "fax_number": "315-750-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUY C PASCULLI LCSW PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-28",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A",
        "authorized_official_last_name": "PASCULLI",
        "authorized_official_first_name": "GUY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "212-929-5729",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041C0700X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.