Individual provider Active NPI

Dorothy Hyde, DCSW

  • Social Worker
  • Hicksville, NY
National Provider Identifier
1255375499
Registry record updated Nov 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
PR025015-1 Issued in NY
Practice address
120 Bethpage Road, Suite 201
Hicksville, NY 11801
Phone
(516) 931-7280
Fax
(516) 931-7280
NPI assigned
Jun 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PR025015-1 NY Primary

Addresses

Primary practice location

120 Bethpage Road, Suite 201
Hicksville, NY 11801

Mailing address

8 Conifer CT
Northport, NY 11768-2124
Phone (631) 262-9543

Other identifiers 3

IdentifierTypeStateIssuer
P537880OtherNYOXFORD
7401185OtherNYGHI/VALUE OPTIONS
AA70707OtherNYMDNY

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
I20210127002347 NY Practitioner - Clinical Social Worker 9335553601 Practice locations: Northport, NY; Hicksville, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

120 Bethpage Rd
Suite 201
Hicksville, NY 11801-1515
Phone (631) 262-9543

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR025015-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194998400000",
    "number": "1255375499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CONIFER CT",
            "city": "NORTHPORT",
            "state": "NY",
            "postal_code": "117682124",
            "telephone_number": "631-262-9543",
            "fax_number": "631-262-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 BETHPAGE ROAD, SUITE 201",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "11801",
            "telephone_number": "516-931-7280",
            "fax_number": "516-931-7280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYDE",
        "first_name": "DOROTHY",
        "credential": "DCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2007-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR025015-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P537880",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/VALUE OPTIONS",
            "identifier": "7401185",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDNY",
            "identifier": "AA70707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

Verify at the official NPI Registry.