Active NPI
Denis E Blumberg LCSW-R, P.C.
- Community/Behavioral Health Agency
- Ridgewood, NY
National Provider Identifier
1376099341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 006495-1
- Legal business name
- DENIS E BLUMBERG LCSW-R, P.C.
- Practice address
- 5619 Metropolitan Ave
Ridgewood, NY 11385-1958 - Phone
- (718) 541-0884
- Fax
- (718) 366-3355
- NPI assigned
- Aug 30, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Denis E Blumberg, LCSW-R, CASAC
- Title
- Owner
- Phone
- (347) 563-7959
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 006495-1 | NY | Primary |
Addresses
Primary practice location
5619 Metropolitan Ave
Ridgewood, NY 11385-1958
Mailing address
5619 Metropolitan Ave
Ridgewood, NY 11385-1958
Phone (718) 541-0884
National Provider Directory
National Provider DirectoryOwnership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Community/Behavioral Health Agency
- Ridgewood, NY
- NPI 1811447667
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472515200000",
"number": "1376099341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5619 METROPOLITAN AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851958",
"telephone_number": "718-541-0884",
"fax_number": "718-366-3355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5619 METROPOLITAN AVE",
"city": "RIDGEWOOD",
"state": "NY",
"postal_code": "113851958",
"telephone_number": "718-541-0884",
"fax_number": "718-366-3355"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DENIS E BLUMBERG LCSW-R, P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2016-08-30",
"last_updated": "2016-08-30",
"status": "A",
"authorized_official_last_name": "BLUMBERG",
"authorized_official_first_name": "DENIS",
"authorized_official_middle_name": "E",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "347-563-7959",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW-R, CASAC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NY",
"license": "006495-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ridgewood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 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.