Jack Tuchman, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0440261 Issued in NY

Practice address

51 W 51St St Ste 340
New York, NY 10019-1951

Phone

(212) 326-8441

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective May 17, 2021 through May 17, 2027

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Trustees of Columbia University in the Department of Otolaryngology

  • Specialist
  • New York, NY
  • NPI 1801074315
  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585180800000",
    "number": "1144352071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 E 60TH ST",
            "address_2": "SUITE 400",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221002",
            "telephone_number": "212-326-8441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 W 51ST ST STE 340",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100191951",
            "telephone_number": "212-326-8441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCHMAN",
        "first_name": "JACK",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "0440261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacey Ann Tubridy, CRNA
• Anthony Christopher Tucci-Berube
• James J Tucci, M.D.
• Roseann Tucci, NP
• Alan J Tuchman, M.D.
• Mario Tuchman, D.M.D.,M.D.
• Micole Tuchman, MD
• Adia Tucker, MSED.
• Allison Tucker
• Andrew J Tucker

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.