Individual provider Active NPI

Vaidehi Jokhakar, LCSW, MPH

  • Clinical Social Worker
  • New Hyde Park, NY
National Provider Identifier
1255930616
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
098518-01 Issued in NY
Practice address
410 Lakeville Rd Ste 108
New Hyde Park, NY 11042-1102
Phone
(718) 598-1367
NPI assigned
Oct 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 110607-01 NY
Clinical Social Worker 1041C0700X 098518-01 NY Primary

Addresses

Primary practice location

410 Lakeville Rd Ste 108
New Hyde Park, NY 11042-1102

Mailing address

8618 260TH St
Floral Park, NY 11001-1437
Phone (718) 598-1367

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
I20250415000888 NY Practitioner - Clinical Social Worker 9638694466 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
098518NYMDSocial Worker
110607-01NYMDSocial Worker
098518-01NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince Feb 8, 2025 Accepting new patients
North Shore - Lij Pediatrics of Suffolk County, P.C. CurrentSince May 8, 2025 Accepting new patients

Locations

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1770 Motor Pkwy
Islandia, NY 11749
Phone (631) 434-1770

3001 Express Dr N
Ste 100
Islandia, NY 11749
Phone (631) 434-1770

410 Lakeville Rd
Ste 108
New Hyde Park, NY 11042
Phone (516) 465-3270

1111 Marcus Ave
Ste M04
New Hyde Park, NY 11042
Phone (585) 736-3650

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

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.

NPI Registry JSON

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

{
    "created_epoch": "1602979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1255930616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8618 260TH ST",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011437",
            "telephone_number": "718-598-1367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 LAKEVILLE RD STE 108",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110421102",
            "telephone_number": "718-598-1367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOKHAKAR",
        "first_name": "VAIDEHI",
        "name_prefix": "Ms.",
        "credential": "LCSW, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-18",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "110607-01",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "098518-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.