Organization Active NPI

Jeanine Blumenfeld, Inc.

  • Clinical Social Worker
  • Nanuet, NY
National Provider Identifier
1134530553
Registry record updated May 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R039862 Issued in NY
Legal business name
JEANINE BLUMENFELD, INC.
Practice address
12 Pelham Ave
Nanuet, NY 10954-3428
Phone
(845) 624-5802
Fax
(845) 624-2755
NPI assigned
May 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 20, 2014

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

Authorized official

Name
Mrs. Jeanine Marie Blumenfeld, LCSW
Title
Licensed Clinical Social Worker
Phone
(845) 624-5802

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X R039862 NY Primary

Addresses

Primary practice location

12 Pelham Ave
Nanuet, NY 10954-3428

Mailing address

12 Pelham Ave
Nanuet, NY 10954-3428
Phone (845) 624-5802

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1400544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400544000000",
    "number": "1134530553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 PELHAM AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543428",
            "telephone_number": "845-624-5802",
            "fax_number": "845-624-2755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 PELHAM AVE",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109543428",
            "telephone_number": "845-624-5802",
            "fax_number": "845-624-2755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANINE BLUMENFELD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-20",
        "last_updated": "2014-05-20",
        "status": "A",
        "authorized_official_last_name": "BLUMENFELD",
        "authorized_official_first_name": "JEANINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "845-624-5802",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R039862",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2014; 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.