Jeremy Antar, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080925-1 Issued in NY

Practice address

19 W 34TH St
PH
New York, NY 10001-3006

Phone

(917) 655-0218

NPI assigned

Jun 25, 2010

Last updated

Jan 26, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1277424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453766400000",
    "number": "1467763342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 17TH ST APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033615",
            "telephone_number": "917-655-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 W 34TH ST",
            "address_2": "PH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100013006",
            "telephone_number": "917-655-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANTAR",
        "first_name": "JEREMY",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-25",
        "last_updated": "2016-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080925-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swati Antala, M.D.
• Anayis Marus Antanesian, MD
• Shweta Antani, D.O.
• Benjamin John Antar
• Deborah Antar, LCSW
• Madelin Clare Antaya
• Nadav Antebi-Gruszka, PHD, MHC-LP
• Honey Antelis, RPH
• Craig Antell, D.O.
• Darrick E Antell, M.D.

• Clinical Social Worker in New York, NY
• Providers in New York, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.