Organization Active NPI

Denis E Blumberg LCSW-R, P.C.

  • Community/Behavioral Health Agency
  • Ridgewood, NY
National Provider Identifier
1376099341
Registry record updated Aug 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
006495-1 Issued in NY
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

Updated by the provider on Aug 30, 2016

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)CodeLicenseStatePrimary
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 Directory

Ownership & 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.

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.

Verify at the official NPI Registry.