Active NPI
Peter Iemma
- Social Worker
- Valley Stream, NY
National Provider Identifier
1366329195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 128369-01
- Practice address
- 50 W Hawthorne Ave
Valley Stream, NY 11580-6223 - Phone
- (718) 845-2621
- NPI assigned
- Aug 21, 2025
- Sex
- Male
- Sole proprietor
- Yes
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 | 128369-01 | NY | Primary |
Addresses
Primary practice location
50 W Hawthorne Ave
Valley Stream, NY 11580-6223
Mailing address
21431 38TH Ave
Bayside, NY 11361-2105
Phone (917) 331-8274
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 |
|---|---|---|---|
| 128369-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1755734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1366329195",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21431 38TH AVE",
"city": "BAYSIDE",
"state": "NY",
"postal_code": "113612105",
"telephone_number": "917-331-8274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 W HAWTHORNE AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115806223",
"telephone_number": "718-845-2621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IEMMA",
"first_name": "PETER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-08-21",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "128369-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.