Active NPI
Elimelech Fasten
- School Social Worker
- Brooklyn, NY
National Provider Identifier
1376091272
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Social Worker
- Practice address
- 18 Middleton St
Brooklyn, NY 11206-5415 - Phone
- (718) 875-6900
- Fax
- (718) 875-3282
- NPI assigned
- Sep 20, 2016
- 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 |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | Primary |
Addresses
Primary practice location
18 Middleton St
Brooklyn, NY 11206-5415
Mailing address
18 Middleton St
Brooklyn, NY 11206-5415
Phone (718) 875-6900
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
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474329600000",
"number": "1376091272",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 MIDDLETON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065415",
"telephone_number": "718-875-6900",
"fax_number": "718-875-3282"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 MIDDLETON ST",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112065415",
"telephone_number": "718-875-6900",
"fax_number": "718-875-3282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FASTEN",
"first_name": "ELIMELECH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-09-20",
"last_updated": "2016-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"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 Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.