Individual provider Active NPI

David Flomenhaft, PHD, LCSW

  • Clinical Social Worker
  • Malverne, NY
National Provider Identifier
1467453043
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R031673-1 Issued in NY
Practice address
96 Sydney Ave
Malverne, NY 11565-1135
Phone
(516) 596-0739
Fax
(516) 596-0739
NPI assigned
Aug 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R031673-1 NY Primary

Addresses

Primary practice location

96 Sydney Ave
Malverne, NY 11565-1135

Mailing address

96 Sydney Ave
Malverne, NY 11565-1135
Phone (516) 596-0739

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
I20040414001462 NY Practitioner - Clinical Social Worker 1153315734 Reassigns benefits to 1 organization
Practice locations: Malverne, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

96 Sydney Ave
Malverne, NY 11565-1135
Phone (516) 596-0739

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
R031673-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Oct 5, 2007 Accepting new patients
Mercy Medical Center CurrentSince Oct 5, 2007 Accepting new patients
Mercy Medical Center Current Accepting new patients

Locations

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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": "1123545600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467453043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 SYDNEY AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651135",
            "telephone_number": "516-596-0739",
            "fax_number": "516-596-0739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 SYDNEY AVE",
            "city": "MALVERNE",
            "state": "NY",
            "postal_code": "115651135",
            "telephone_number": "516-596-0739",
            "fax_number": "516-596-0739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLOMENHAFT",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031673-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Malverne, NY

Sources for this page

Verify at the official NPI Registry.