Active NPI
Leyla D Ertegun
- Clinical Social Worker
- New York, NY
National Provider Identifier
1467787242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 115 W 73Rd St Apt 1D
New York, NY 10023 - Phone
- (646) 859-0676
- NPI assigned
- Oct 12, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Social Worker | 1041S0200X | |||
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
115 W 73Rd St Apt 1D
New York, NY 10023
Mailing address
115 W 73Rd St Apt 1D
New York, NY 10023-2912
Phone (917) 653-8991
Other practice location 1
177 E 87th St # 409
New York, NY 10128-2226
Phone (917) 653-8991
Other practice location 2
5676 Riverdale Ave
Suite 202
Bronx, NY 10471-2138
Phone (718) 796-5300 ext. 104
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 081739 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610582400000",
"number": "1467787242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 W 73RD ST APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100232912",
"telephone_number": "917-653-8991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 W 73RD ST APT 1D",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10023",
"telephone_number": "646-859-0676"
}
],
"practiceLocations": [
{
"address_1": "177 E 87th St # 409",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "101282226",
"country_code": "US",
"telephone_number": "917-653-8991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5676 Riverdale Ave",
"address_2": "Suite 202",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104712138",
"country_code": "US",
"telephone_number": "718-796-5300 x104",
"fax_number": "718-548-1161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ERTEGUN",
"first_name": "LEYLA",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-12",
"last_updated": "2021-01-14",
"certification_date": "2021-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.