Individual provider Active NPI

Andre Toth, CSW-R

  • Clinical Social Worker
  • Buffalo, NY
National Provider Identifier
1164578480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR0116008-1 Issued in NY
Practice address
5820 Main St
Suite 508
Buffalo, NY 14221-5776
Phone
(716) 445-8343
Fax
(716) 631-5406
NPI assigned
Jan 27, 2007
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 PR0116008-1 NY Primary

Addresses

Primary practice location

5820 Main St
Suite 508
Buffalo, NY 14221-5776

Mailing address

5820 Main St
Suite 508
Buffalo, NY 14221-5776
Phone (716) 445-8343

Other identifiers 4

IdentifierTypeStateIssuer
000506112001OtherNYBLUE CROSS BLUE SHIELD
292159000OtherNYUNITED HEALTH CARE
00053225001OtherNYUNIVERA
6290248OtherNYINDEPENDENT HEALTH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR0116008-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164578480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 508",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215776",
            "telephone_number": "716-445-8343",
            "fax_number": "716-631-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5820 MAIN ST",
            "address_2": "SUITE 508",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142215776",
            "telephone_number": "716-445-8343",
            "fax_number": "716-631-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "ANDRE",
        "name_prefix": "Mr.",
        "credential": "CSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR0116008-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000506112001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "292159000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00053225001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6290248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.