Active NPI
Benjamin Elson
- Social Worker
- Oyster Bay, NY
National Provider Identifier
1437870474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 114639
- Practice address
- 2 Park PL
Oyster Bay, NY 11771-3919 - Phone
- (917) 903-1380
- NPI assigned
- Sep 8, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 114639 | NY | Primary |
Addresses
Primary practice location
2 Park PL
Oyster Bay, NY 11771-3919
Mailing address
43 Pleasant Ave
Passaic, NJ 07055-2450
Phone (973) 778-8211
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 114639 | Other | NY | NYS LMSW LICENSURE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | computer | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 114639 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662595200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662595200000",
"number": "1437870474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43 PLEASANT AVE",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070552450",
"telephone_number": "973-778-8211"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 PARK PL",
"city": "OYSTER BAY",
"state": "NY",
"postal_code": "117713919",
"telephone_number": "917-903-1380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELSON",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-09-08",
"last_updated": "2022-09-08",
"certification_date": "2022-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "114639",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LMSW LICENSURE NUMBER",
"identifier": "114639",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "computer",
"affiliation": "N",
"endpointDescription": "personal computer",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2 Park Pl",
"city": "Oyster Bay",
"state": "NY",
"country_code": "US",
"postal_code": "117713919",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Oyster Bay, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.