Active NPI
Nicholas Michael Pantelides, LMSW
- School Social Worker
- New York, NY
National Provider Identifier
1326801200
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- License
- 122163-01
- Practice address
- 40 Montgomery St
New York, NY 10002-4808 - Phone
- (212) 233-5032
- NPI assigned
- Feb 2, 2024
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | 122163-01 | NY | Primary |
Addresses
Primary practice location
40 Montgomery St
New York, NY 10002-4808
Mailing address
4996 Broadway Apt Aa
New York, NY 10034-1669
Phone (347) 226-0376
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122163-01 | NY | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706832000000",
"number": "1326801200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4996 BROADWAY APT AA",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341669",
"telephone_number": "347-226-0376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MONTGOMERY ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100024808",
"telephone_number": "212-233-5032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTELIDES",
"first_name": "NICHOLAS",
"middle_name": "MICHAEL",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-02",
"last_updated": "2024-02-02",
"certification_date": "2024-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "NY",
"license": "122163-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.