Individual provider Active NPI

Ari Goldstein, LCSW

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1366178204
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
096038 Issued in NY
Practice address
3333 Henry Hudson Pkwy Ste 4
Bronx, NY 10463-3224
Phone
(646) 598-2533
NPI assigned
Jul 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 108625 NY
Clinical Social Worker 1041C0700X 096038 NY Primary

Addresses

Primary practice location

3333 Henry Hudson Pkwy Ste 4
Bronx, NY 10463-3224

Mailing address

3333 Henry Hudson Pkwy Ste 4
Bronx, NY 10463-3224

Other practice location 1

111 E 210th St
Bronx, NY 10467-2401
Phone (718) 563-5263

Other practice location 2

1619 3rd Ave Rm 202
New York, NY 10128-3459
Phone (646) 598-2533

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
I20231109000783 NY Practitioner - Clinical Social Worker 3375990559 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
108625NYMDSocial Worker
096038NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Montefiore Medical Center CurrentSince Sep 17, 2023 Accepting new patients
Scarsdale Edgemont Family Counseling Service PastSince Dec 1, 2024 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3333 Henry Hudson Pkwy
Ste 4
Bronx, NY 10463
Phone (718) 884-6400

100 Corporate Dr
#100
Yonkers, NY 10701

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

Organizations & group practices 3

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": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1366178204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY STE 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 HENRY HUDSON PKWY STE 4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104633224",
            "telephone_number": "646-598-2533"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-563-5263",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1619 3rd Ave Rm 202",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101283459",
            "country_code": "US",
            "telephone_number": "646-598-2533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOLDSTEIN",
        "first_name": "ARI",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-07-25",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "108625",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "096038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.