Individual provider Active NPI

Jeffrey Harold Olin

  • Social Worker
  • New York, NY
National Provider Identifier
1275975633
Registry record updated Jul 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087322-1 Issued in NY
Practice address
135 W 50TH St
6TH Floor
New York, NY 10020-1201
Phone
(212) 632-4700
NPI assigned
Jul 25, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2013

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 087322-1 NY Primary

Addresses

Primary practice location

135 W 50TH St
6TH Floor
New York, NY 10020-1201

Mailing address

690 9TH Ave
Apt. #2S
New York, NY 10036-3665
Phone (212) 245-9707

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
I20180213002892 NY Practitioner - Clinical Social Worker 4183984099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Board of Family and Childrens Services IncGroup PAC ID 5092607333, 127 clinicians

Practice addresses (Care Compare)

9777 Queens Blvd
Rego Park, NY 11374-3335
Phone (718) 896-9090

Merit-based Incentive Payment System (MIPS)

Final score
87.65 of 100Reported as group
Quality
71.56
Promoting interoperability
74
Improvement activities
40
Cost
87.55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
087322-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Dec 17, 2017 Accepting new patients
Jewish Board of Family and Children'S Services, Inc. CurrentSince Dec 17, 2017 Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

135 W 50th St
Fl 6
New York, NY 10020
Phone (212) 632-4700

120 W 57th St
Fl 8
New York, NY 10019
Phone (212) 397-4250

9777 Queens Blvd
Rego Park, NY 11374
Phone (718) 275-9300

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": "1374710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374710400000",
    "number": "1275975633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 9TH AVE",
            "address_2": "APT. #2S",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100363665",
            "telephone_number": "212-245-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 W 50TH ST",
            "address_2": "6TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100201201",
            "telephone_number": "212-632-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLIN",
        "first_name": "JEFFREY",
        "middle_name": "HAROLD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-25",
        "last_updated": "2013-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087322-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.