Individual provider Active NPI

Anika Merchants

  • Social Worker
  • Freeport, NY
National Provider Identifier
1144594144
Registry record updated Nov 5, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084381 Issued in NY
Practice address
91 Guy Lombardo Ave
Unit One
Freeport, NY 11520-3731
Phone
(516) 868-3030
NPI assigned
Mar 8, 2012
Last updated
Nov 5, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084381 NY Primary

Addresses

Primary practice location

91 Guy Lombardo Ave
Unit One
Freeport, NY 11520-3731

Mailing address

91 Guy Lombardo Ave
Unit One
Freeport, NY 11520-3731
Phone (516) 868-3030

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170320000126 NY Practitioner - Clinical Social Worker 5597040345 Practice locations: Garden City, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

233 7TH St
Suite 200
Garden City, NY 11530-5747
Phone (516) 853-0254

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084381NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415145600000",
    "number": "1144594144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 GUY LOMBARDO AVE",
            "address_2": "UNIT ONE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203731",
            "telephone_number": "516-868-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91 GUY LOMBARDO AVE",
            "address_2": "UNIT ONE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203731",
            "telephone_number": "516-868-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANTS",
        "first_name": "ANIKA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2014-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.