Individual provider Active NPI

Shevy Weinberger

  • Social Worker
  • Monsey, NY
National Provider Identifier
1376200626
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
109770
Practice address
40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone
(845) 352-6800
Fax
(845) 503-2214
NPI assigned
Nov 22, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 109770 Primary

Addresses

Primary practice location

40 Robert Pitt Dr
Monsey, NY 10952-3333

Mailing address

40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 352-6800

Other identifiers 1

IdentifierTypeStateIssuer
109770OtherNYNY LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Allscripts

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250416001692 NY Practitioner - Clinical Social Worker 1254856875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical and Dental Care, Inc.Group PAC ID 2062487739, 17 clinicians

Practice addresses (Care Compare)

40 Robert Pitt Dr
Monsey, NY 10952-3333
Phone (845) 352-6800

42 Melnick Dr
Monsey, NY 10952-3328
Phone (845) 352-6800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical & Dental Care Inc CurrentSince Feb 7, 2025 Accepting new patients

Locations

40 Robert Pitt Dr
Monsey, NY 10952
Phone (845) 352-6800

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1637539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1376200626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800",
            "fax_number": "845-503-2214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ROBERT PITT DR",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109523333",
            "telephone_number": "845-352-6800",
            "fax_number": "845-503-2214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "SHEVY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-22",
        "last_updated": "2021-11-22",
        "certification_date": "2021-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": "109770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "109770",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Allscripts",
            "affiliation": "N",
            "address_1": "40 Robert Pitt Dr",
            "city": "Monsey",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109523333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.