Active NPI
Douglas K Gerber, LCSW
- Social Worker
- Ny, NY
National Provider Identifier
1306859251
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PR0226431
- Practice address
- 865 West End Ave
#1C
Ny, NY 10025-8402 - Phone
- (212) 866-5782
- Fax
- (212) 932-0340
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 | PR0226431 | NY | Primary |
Addresses
Primary practice location
865 West End Ave
#1C
Ny, NY 10025-8402
Mailing address
865 West End Ave
#1C
Ny, NY 10025-8402
Phone (212) 866-5782
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 |
|---|---|---|---|---|
| I20110228000752 | NY | Practitioner - Clinical Social Worker | 2163603887 | Practice locations: New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
865 W End Ave
New York, NY 10025-8402
Phone (212) 866-5782
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR0226431 | NY | MD | Social Worker |
| 022643 | NY | MD | Occupational Therapist |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1306859251",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 WEST END AVE",
"address_2": "#1C",
"city": "NY",
"state": "NY",
"postal_code": "100258402",
"telephone_number": "212-866-5782",
"fax_number": "212-932-0340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 WEST END AVE",
"address_2": "#1C",
"city": "NY",
"state": "NY",
"postal_code": "100258402",
"telephone_number": "212-866-5782",
"fax_number": "212-932-0340"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERBER",
"first_name": "DOUGLAS",
"middle_name": "K",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "PR0226431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.