Shmuel Zisu, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00080778-1 Issued in NY

Practice address

10819 Rockaway Blvd
South Ozone Park, NY 11420-1034

Phone

(718) 845-2620

Fax

(718) 845-9380

NPI assigned

Oct 13, 2008

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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

Specialty

Clinical Social Worker

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

New Horizon Counseling Center Inc 87 clinicians

Ohel Children'S Home and Family Services, Inc. 27 clinicians

Seth Benkel MD PLLC 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles (5 of 9)

Locations

Networks

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

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.

• New Horizon Counseling Center Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Ozone Park, NY
  • NPI 1366430563

  NY

  Medicare reassignment Care Compare group NPD
• Ohel Children'S Home and Family Services, Inc.

  • Community/Behavioral Health Agency
  • Far Rockaway, NY
  • NPI 1043468804

  NY, Social Worker

  Medicare reassignment Care Compare group NPD
• Seth Benkel, MD, PLLC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1518313188

  NY

  Medicare reassignment Care Compare group NPD
• Ohel Children'S Home and Family Services, Inc.

  • Social Worker
  • Brooklyn, NY
  • NPI 1861465239
  NPD
• Ohel Children'S Home and Family Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hollywood, FL
  • NPI 1629851613
  NPD

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

{
    "created_epoch": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370304000000",
    "number": "1285886069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10819 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201034",
            "telephone_number": "718-845-2620",
            "fax_number": "718-845-9380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10819 ROCKAWAY BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114201034",
            "telephone_number": "718-845-2620",
            "fax_number": "718-845-9380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZISU",
        "first_name": "SHMUEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2013-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "077996",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "00080778-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00077996",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00080778-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anita Yadav
• Alexandra Yakubova, P.A.
• Yes We Can Speech Language Pathologist LLC
• You and Eye Vision Inc
• Amanda Zayas
• Jennifer Hersh Zurndorfer, LCSW

• All providers in South Ozone Park, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.