Active NPI
Eta Feuerman
- Social Worker
- Flushing, NY
National Provider Identifier
1295152098
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 14732 69TH Rd
Flushing, NY 11367-1732 - Phone
- (347) 834-4712
- NPI assigned
- Mar 19, 2014
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
14732 69TH Rd
Flushing, NY 11367-1732
Mailing address
14732 69TH Rd
Flushing, NY 11367-1732
Other practice location 1
2925A Kings Hwy
Brooklyn, NY 11229-1805
Phone (718) 382-0045
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170915000127 | NY | Practitioner - Clinical Social Worker | 0446524425 | Practice locations: Flushing, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1395187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1295152098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14732 69TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14732 69TH RD",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113671732",
"telephone_number": "347-834-4712"
}
],
"practiceLocations": [
{
"address_1": "2925A Kings Hwy",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112291805",
"country_code": "US",
"telephone_number": "718-382-0045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FEUERMAN",
"first_name": "ETA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-03-19",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.