Individual provider Active NPI

Jerome S. Marton, LCSW

  • Clinical Social Worker
  • Nyack, NY
National Provider Identifier
1336296052
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PRO12140-1 Issued in NY
Practice address
4 Castle Heights Ave
Nyack, NY 10960-1501
Phone
(845) 358-2165
Fax
(845) 727-4910
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X PRO12140-1 NY Primary

Addresses

Primary practice location

4 Castle Heights Ave
Nyack, NY 10960-1501

Mailing address

4 Castle Heights Ave
Nyack, NY 10960-1501
Phone (845) 358-2165

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090824000034 NY Practitioner - Clinical Social Worker 2769536952 Reassigns benefits to 1 organization
Practice locations: Nyack, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4 Castle Heights Ave
Nyack, NY 10960-1501
Phone (845) 358-2165

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PRO12140-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family and Children'S Services, Inc. Clinical CurrentSince Feb 10, 2020 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince Feb 10, 2020 Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients
Putnam Family and Community Services Inc Past Accepting new patients

Locations

2488 Grand Concourse
Bronx, NY 10458
Phone (212) 695-5122

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336296052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CASTLE HEIGHTS AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601501",
            "telephone_number": "845-358-2165",
            "fax_number": "845-727-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CASTLE HEIGHTS AVE",
            "city": "NYACK",
            "state": "NY",
            "postal_code": "109601501",
            "telephone_number": "845-358-2165",
            "fax_number": "845-727-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTON",
        "first_name": "JEROME",
        "middle_name": "S.",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PRO12140-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nyack, NY

Sources for this page

Verify at the official NPI Registry.