Jerome Meizlik

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

465 Grand St FL 2
New York, NY 10002-4800

Phone

(212) 420-1970

Fax

(212) 420-1970

NPI assigned

Jan 5, 2023

Sex

Male

Sole proprietor

Yes

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

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Community Assistance Resources & Extended Services Inc

  • Case Management Agency
  • New York, NY
  • NPI 1396049987
  Medicare reassignment NPD

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692921600000",
    "number": "1184337040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 SOPHIA ST",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109522012",
            "telephone_number": "845-540-9307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 GRAND ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100024800",
            "telephone_number": "212-420-1970",
            "fax_number": "212-420-1970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Pomona",
            "state": "NY",
            "postal_code": "109703525",
            "country_code": "US",
            "telephone_number": "845-425-5252 x1088",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEIZLIK",
        "first_name": "JEROME",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-01-05",
        "last_updated": "2023-08-25",
        "certification_date": "2023-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela Lee Meissner
• David Jacob Meister
• Jessica Meister, PSY.D.
• Jessica Lauren Meister, LCSW
• Kirsten H Meister, CRNA
• Christine Meizoso, DPT
• Andrea Maria Mejia Madriz, LMSW
• Mateo Mejia Saldarriaga, M.D
• Mariana Mejia Turnbull, AUD
• Juliana Mejia- Gonzalez, LCSW

• 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 Aug 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.