Keith M Jonas, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R052519-1 Issued in NY

Practice address

6355 Broadway
Bronx, NY 10471-2701

Phone

(718) 796-4424

Fax

(718) 796-4138

NPI assigned

Oct 24, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356425813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13703 257TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114223326",
            "telephone_number": "718-527-5362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6355 BROADWAY",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104712701",
            "telephone_number": "718-796-4424",
            "fax_number": "718-796-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONAS",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R052519-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Jennifer Jomphe, PA-C
• Marilyn Jonas Ryan
• Jonas-Ryan Family Chiropractic PLLC
• Darrell Marc Jonas, D.O.
• Elana Zahava Jonas, OTR/L
• Rachel Jonas, MS OTR/L
• Jonathan D Boniuk MD PC
• Jonathan Multitherapy Services, Inc
• Jonathan Selzer MD PC
• Patricia Jones Case, FNP

• Clinical Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Clinical Social Worker in New York

• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.