Active NPI
David Aaron Nemiroff, LCSW
- Clinical Social Worker
- Bellmore, NY
National Provider Identifier
1255439212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R0510208
- Practice address
- 106 Ocean Ave
Bellmore, NY 11710-3844 - Phone
- (631) 804-3340
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R0510208 | NY | Primary |
Addresses
Primary practice location
106 Ocean Ave
Bellmore, NY 11710-3844
Mailing address
27 Tree Hollow LN
Dix Hills, NY 11746-6315
Phone (631) 595-2839
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 078465 | Other | NY | VALUE OPTIONS |
| 02075354 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| R0510208 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Health Care Long Island | Past | Accepting new patients | |
| Family Residences and Essential Enterprises, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- North Baldwin, NY
- NPI 1205704319
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Old Bethpage, NY
- NPI 1497943757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1255439212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "27 TREE HOLLOW LN",
"city": "DIX HILLS",
"state": "NY",
"postal_code": "117466315",
"telephone_number": "631-595-2839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 OCEAN AVE",
"city": "BELLMORE",
"state": "NY",
"postal_code": "117103844",
"telephone_number": "631-804-3340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEMIROFF",
"first_name": "DAVID",
"middle_name": "AARON",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R0510208",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUE OPTIONS",
"identifier": "078465",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02075354",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bellmore, 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.