Active NPI
Gregory J Maccoll, LCSW
- Social Worker
- Forest Hills, NY
National Provider Identifier
1356410724
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- PR0212661
- Practice address
- 110-20 71 Avenue
Professional Suite
Forest Hills, NY 11375-4553 - Phone
- (718) 805-1660
- NPI assigned
- Nov 7, 2006
- Last updated
- Aug 4, 2010
- 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 | PR0212661 | NY | Primary |
Addresses
Primary practice location
110-20 71 Avenue
Professional Suite
Forest Hills, NY 11375-4553
Mailing address
110-20 71 Avenue
Professional Suite
Forest Hills, NY 11375-4553
Phone (718) 805-1660
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR0212661 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280880000000",
"number": "1356410724",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110-20 71 AVENUE",
"address_2": "PROFESSIONAL SUITE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754553",
"telephone_number": "718-805-1660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110-20 71 AVENUE",
"address_2": "PROFESSIONAL SUITE",
"city": "FOREST HILLS",
"state": "NY",
"postal_code": "113754553",
"telephone_number": "718-805-1660"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACCOLL",
"first_name": "GREGORY",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-07",
"last_updated": "2010-08-04",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "PR0212661",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Hills, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2010; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.