Active NPI
Long Island Elder Care LCSW PLLC
- Social Worker
- Smithtown, NY
National Provider Identifier
1295763852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- RO335511
- Legal business name
- LONG ISLAND ELDER CARE LCSW PLLC
- Practice address
- 732 Smithtown Byp Ste A55
Smithtown, NY 11787-5020 - Phone
- (631) 320-1070
- Fax
- (631) 320-1070
- NPI assigned
- Jun 30, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Paula Pagan-Rosas
- Title
- President
- Phone
- (631) 979-3498
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | RO335511 | NY | Primary |
Addresses
Primary practice location
732 Smithtown Byp Ste A55
Smithtown, NY 11787-5020
Mailing address
732 Smithtown Byp Ste A55
Smithtown, NY 11787-5020
Phone (631) 320-1070
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20061222000230 | NY | Part B Supplier - Clinic/Group Practice | 8224038286 |
Receives reassigned benefits from 41 practitioners Practice locations: Smithtown, NY |
National Provider Directory
National Provider DirectoryLocations
732 Smithtown Byp
Ste A55
Smithtown, NY 11787
Phone (631) 320-1070
Practitioners & affiliated clinicians
Practitioners 48
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Ronkonkoma, NY
- NPI 1801184429
NY, Social Worker
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730160000000",
"number": "1295763852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "732 SMITHTOWN BYP STE A55",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875020",
"telephone_number": "631-320-1070",
"fax_number": "631-320-1071"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "732 SMITHTOWN BYP STE A55",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117875020",
"telephone_number": "631-320-1070",
"fax_number": "631-320-1070"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LONG ISLAND ELDER CARE LCSW PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-30",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A",
"authorized_official_last_name": "PAGAN-ROSAS",
"authorized_official_first_name": "PAULA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "631-979-3498"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": "NY",
"license": "RO335511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Smithtown, NY
- Long Island Balance and Vestibular PT
- Long Island Child & Adolescent Psychiatry, P.C.
- Long Island Chiropractic & Physical Therapy, PLLC
- Long Island Chiropractic, Health & Wellness, P.C.
- Long Island Chiropractic, Physical Therapy & Nurse Practitioner in Adult Health of Smithtown, PLLC
- Long Island Gastroenterology and Liver Disease P.C.
- Long Island Gynecologic Oncologists, PC
- Long Island Hand Rehab
- Long Island Home Medical Care, P.C.
- Long Island Integrative Functional Medicine, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.