Individual provider Active NPI

David Jonathan Nyer, LCSW

  • Clinical Social Worker
  • New City, NY
National Provider Identifier
1386936565
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083617 Issued in NY
Practice address
500 New Hempstead Rd
Suite D
New City, NY 10956-1132
Phone
(718) 813-2682
NPI assigned
May 6, 2011
Last updated
Mar 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 083617 NY Primary
Clinical Social Worker 1041C0700X 080498 NY

Addresses

Primary practice location

500 New Hempstead Rd
Suite D
New City, NY 10956-1132

Mailing address

420 Mansfield St
Highland Park, NJ 08904-2643
Phone (718) 813-2682

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150506000101 NY Practitioner - Clinical Social Worker 3476872078 Reassigns benefits to 1 organization
I20190128001260 PA Practitioner - Clinical Social Worker 3476872078

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

500 New Hempstead Rd
Suite D
New City, NY 10956-1143
Phone (718) 813-2682

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
David J Nyer LCSW PC Clinical CurrentSince Feb 23, 2015 Accepting new patients
David J Nyer LCSW PC Clinical CurrentSince Dec 7, 2018 Accepting new patients
Miriam Bobroff LCSW Clinica Lservices PC Clinical PastSince Feb 23, 2015 Accepting new patients

Locations

500 New Hempstead Rd
Ste D
New City, NY 10956
Phone (718) 813-2682

1 Bala Ave
Ste 125
Bala Cynwyd, PA 19004
Phone (215) 514-3464

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1386936565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 MANSFIELD ST",
            "city": "HIGHLAND PARK",
            "state": "NJ",
            "postal_code": "089042643",
            "telephone_number": "718-813-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 NEW HEMPSTEAD RD",
            "address_2": "SUITE D",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109561132",
            "telephone_number": "718-813-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NYER",
        "first_name": "DAVID",
        "middle_name": "JONATHAN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-06",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083617",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080498",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

Verify at the official NPI Registry.