Active NPI
James P Tinker, LMSW
- Social Worker
- Syracuse, NY
National Provider Identifier
1356519615
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 076643
- Practice address
- 635 James St
Syracuse, NY 13203-2226 - Phone
- (315) 412-5072
- NPI assigned
- Feb 20, 2008
- 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 | 076643 | NY | Primary |
Addresses
Primary practice location
635 James St
Syracuse, NY 13203-2226
Mailing address
635 James St
Syracuse, NY 13203-2226
Phone (315) 412-5072
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01649605 | Medicaid | NY |
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 |
|---|---|---|---|
| 076643 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203465600000",
"number": "1356519615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "315-412-5072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 JAMES ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132032226",
"telephone_number": "315-412-5072"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINKER",
"first_name": "JAMES",
"middle_name": "P",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2008-02-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "076643",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01649605",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.