Individual provider Active NPI

Jeffrey H Wax, LCSWR

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1114909231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0497431 Issued in NY
Practice address
50 Broadway
League for the Hard of Hearing
New York, NY 10004-1607
Phone
(917) 305-7739
Fax
(917) 305-7888
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0497431 NY Primary

Addresses

Primary practice location

50 Broadway
League for the Hard of Hearing
New York, NY 10004-1607

Mailing address

50 Broadway
League for the Hard of Hearing
New York, NY 10004-3810
Phone (917) 305-7739

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
049743NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Hearing and Communication CurrentSince Jan 1, 1994 Accepting new patients
Center for Hearing and Communication CurrentSince Jan 1, 1994 Accepting new patients

Locations

50 Broadway
New York, NY 10004
Phone (212) 254-0333

50 Broadway
Fl 6
New York, NY 10004
Phone (917) 305-7700

Organizations & group practices 2

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": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1114909231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "address_2": "LEAGUE FOR THE HARD OF HEARING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100043810",
            "telephone_number": "917-305-7739",
            "fax_number": "917-305-7888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "address_2": "LEAGUE FOR THE HARD OF HEARING",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100041607",
            "telephone_number": "917-305-7739",
            "fax_number": "917-305-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAX",
        "first_name": "JEFFREY",
        "middle_name": "H",
        "credential": "LCSWR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0497431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.