Active NPI
David William Pulli, LMSW
- Social Worker
- Gansevoort, NY
National Provider Identifier
1154938058
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 066717-1
- Practice address
- 51 Palmer Ridge Rd
Gansevoort, NY 12831-1942 - Phone
- (646) 294-0955
- NPI assigned
- Sep 25, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 066717-1 | NY | Primary |
Addresses
Primary practice location
51 Palmer Ridge Rd
Gansevoort, NY 12831-1942
Mailing address
51 Palmer Ridge Rd
Gansevoort, NY 12831-1942
Phone (646) 294-0955
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Gansevoort |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 066717-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1600992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600992000000",
"number": "1154938058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 PALMER RIDGE RD",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128311942",
"telephone_number": "646-294-0955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 PALMER RIDGE RD",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128311942",
"telephone_number": "646-294-0955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLI",
"first_name": "DAVID",
"middle_name": "WILLIAM",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-25",
"last_updated": "2020-09-25",
"certification_date": "2020-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "066717-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Gansevoort",
"affiliation": "N",
"address_1": "51 Palmer Ridge Rd",
"city": "Gansevoort",
"state": "NY",
"country_code": "US",
"postal_code": "128311942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Gansevoort, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.