Individual provider Active NPI

Zipora F Massis, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1265529218
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R053981 Issued in NY
Practice address
6355 Broadway
Bronx, NY 10471-2701
Phone
(718) 796-4424
Fax
(718) 796-4138
NPI assigned
Oct 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R053981 NY Primary

Addresses

Primary practice location

6355 Broadway
Bronx, NY 10471-2701

Mailing address

12212 Hillside Ave
Richmond Hill, NY 11418-1814
Phone (718) 847-3695

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R053981NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Aug 16, 2021 Accepting new patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Aug 16, 2021 Accepting new patients

Locations

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1265529218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12212 HILLSIDE AVE",
            "city": "RICHMOND HILL",
            "state": "NY",
            "postal_code": "114181814",
            "telephone_number": "718-847-3695",
            "fax_number": "718-847-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712701",
            "telephone_number": "718-796-4424",
            "fax_number": "718-796-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSIS",
        "first_name": "ZIPORA",
        "middle_name": "F",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R053981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.