Organization Active NPI

Jeffrey Kerekes LLC

  • Clinical Social Worker
  • New Haven, CT
National Provider Identifier
1255640959
Registry record updated Sep 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
005553 Issued in CT
Legal business name
JEFFREY KEREKES LLC
Practice address
43 Lyon St
New Haven, CT 06511-4925
Phone
(203) 676-0880
NPI assigned
Sep 28, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2010

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

Authorized official

Name
Jeffrey P Kerekes, MSSW
Title
Managing Member
Phone
(203) 676-0880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 005553 CT Primary

Addresses

Primary practice location

43 Lyon St
New Haven, CT 06511-4925

Mailing address

43 Lyon St
New Haven, CT 06511-4925
Phone (203) 676-0880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1285632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1285632000000",
    "number": "1255640959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 LYON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114925",
            "telephone_number": "203-676-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 LYON ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065114925",
            "telephone_number": "203-676-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY KEREKES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-28",
        "last_updated": "2010-09-28",
        "status": "A",
        "authorized_official_last_name": "KEREKES",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "203-676-0880",
        "authorized_official_credential": "MSSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "005553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2010; 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.