NPIMap

Organization Active NPI

Dulchin & Fader, Inc

Doing business as Union Square Practice

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1245773746
Registry record updated Jul 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
095067 Issued in NY
Legal business name
DULCHIN & FADER, INC
Doing business as
Union Square Practice
Practice address
817 Broadway
10TH Floor
New York, NY 10003-4709
Phone
(212) 335-2100
Fax
(646) 790-2332
NPI assigned
Dec 1, 2016
Reactivated
Jul 18, 2017
Last updated
Jul 18, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2017

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

Authorized official

Name
Mrs. Windy Johnson
Title
Practice Administrator
Phone
(646) 237-4125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 095067 NY Primary

Addresses

Primary practice location

817 Broadway
10TH Floor
New York, NY 10003-4709

Mailing address

817 Broadway
10TH Floor
New York, NY 10003-4709
Phone (212) 335-2100

Other names 1

  • Union Square Practice Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1480550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500336000000",
    "number": "1245773746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034709",
            "telephone_number": "212-335-2100",
            "fax_number": "646-790-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 BROADWAY",
            "address_2": "10TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100034709",
            "telephone_number": "212-335-2100",
            "fax_number": "646-790-2332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULCHIN & FADER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-01",
        "last_updated": "2017-07-18",
        "deactivation_date": "2017-01-26",
        "reactivation_date": "2017-07-18",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "WINDY",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "646-237-4125",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "095067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Union Square Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2017; 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.