Individual provider Active NPI

Jacques Nir, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1174668032
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
071566 Issued in NY
Practice address
50 Lexington Ave
Professional Suites 101
New York, NY 10010-2935
Phone
(646) 662-8431
NPI assigned
Feb 20, 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 071566 NY Primary

Addresses

Primary practice location

50 Lexington Ave
Professional Suites 101
New York, NY 10010-2935

Mailing address

307 E 93Rd St Apt 4E
New York, NY 10128-6121
Phone (646) 662-8431

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
I20150603001495 NY Practitioner - Clinical Social Worker 8123349180 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
060156NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Sep 1, 2020 Accepting new patients
Parallax Center, Inc. Current Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Sep 1, 2020 Accepting new patients

Locations

750 Astor Ave
Bronx, NY 10467
Phone (718) 882-5000

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174668032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 E 93RD ST APT 4E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286121",
            "telephone_number": "646-662-8431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 LEXINGTON AVE",
            "address_2": "PROFESSIONAL SUITES 101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102935",
            "telephone_number": "646-662-8431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIR",
        "first_name": "JACQUES",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "071566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.