Individual provider Active NPI

George Bruce Toth, LCSWR

  • Clinical Social Worker
  • Cornwall, NY
National Provider Identifier
1447264965
Registry record updated Jul 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0527701 Issued in NY
Practice address
246 Main St
Cornwall, NY 12518-1568
Phone
(845) 534-2980
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R0527701 NY Primary

Addresses

Primary practice location

246 Main St
Cornwall, NY 12518-1568

Mailing address

246 Main St
Cornwall, NY 12518-1568
Phone (845) 534-2980

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
I20050324000026 NY Practitioner - Clinical Social Worker 5597711432 Reassigns benefits to 1 organization
Practice locations: New Windsor, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1967
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5 Barnstorm Rd
New Windsor, NY 12553-8867
Phone (845) 534-2980

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0527701NYMDClinical Social Worker
052770NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
East Orange Psychiatric Associates, LLP Clinical CurrentSince Dec 15, 2006 Accepting new patients
The Hudson Center Past Accepting new patients

Locations

400 Stony Brook Ct
Newburgh, NY 12550
Phone (845) 534-2900

Organizations & group practices 2

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436832000000",
    "number": "1447264965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 MAIN ST",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181568",
            "telephone_number": "845-534-2980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 MAIN ST",
            "city": "CORNWALL",
            "state": "NY",
            "postal_code": "125181568",
            "telephone_number": "845-534-2980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOTH",
        "first_name": "GEORGE",
        "middle_name": "BRUCE",
        "name_prefix": "Mr.",
        "credential": "LCSWR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2015-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0527701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cornwall, NY

Sources for this page

Verify at the official NPI Registry.