Active NPI
Martin Albert Koser, LCSW R
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1366580516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- PR021147
- Practice address
- 2936 Nostrand Avenue
Brooklyn, NY 11229 - Phone
- (718) 258-1902
- Fax
- (718) 253-4421
- NPI assigned
- Feb 1, 2007
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | PR021147 | NY | Primary |
Addresses
Primary practice location
2936 Nostrand Avenue
Brooklyn, NY 11229
Mailing address
2936 Nostrand Ave
Brooklyn, NY 11229
Phone (718) 258-1902
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PR021147 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366580516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2936 NOSTRAND AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-258-1902",
"fax_number": "718-253-4421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2936 NOSTRAND AVENUE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11229",
"telephone_number": "718-258-1902",
"fax_number": "718-253-4421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSER",
"first_name": "MARTIN",
"middle_name": "ALBERT",
"name_prefix": "Mr.",
"credential": "LCSW R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "PR021147",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- 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.