Individual provider Active NPI

Mariel Bazil, LCSW

  • Clinical Social Worker
  • Ossining, NY
National Provider Identifier
1487093407
Registry record updated Mar 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
087835 Issued in NY
Practice address
165 Main St
Ossining, NY 10562-4702
Phone
(914) 522-0302
NPI assigned
Jun 24, 2013
Last updated
Mar 13, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 091127 NY
Clinical Social Worker 1041C0700X 087835 NY Primary

Addresses

Primary practice location

165 Main St
Ossining, NY 10562-4702

Mailing address

10 Kingston Ave
Port Jervis, NY 12771-1718

Other practice location 1

1419 Shakespeare Ave
Bronx, NY 10452-1851
Phone (718) 732-7080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190429002669 NY Practitioner - Clinical Social Worker 2961744651 Reassigns benefits to 1 organization
I20230601000842 NJ Practitioner - Clinical Social Worker 2961744651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Aldad Medical NJ PCGroup PAC ID 4981011988, 10 clinicians

Practice addresses (Care Compare)

221 River St
Suite 901
Hoboken, NJ 07030-5989
Phone (516) 505-7200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aldad Medical PC CurrentSince Feb 1, 2024 Accepting new patients
Aldad Medical NJ, P.C CurrentSince May 1, 2023 Accepting new patients

Locations

221 River St
Ste 901
Hoboken, NJ 07030
Phone (201) 308-8252

27111 76th Ave
North New Hyde Pk, NY 11040
Phone (718) 289-2100

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

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, 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": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552435200000",
    "number": "1487093407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 KINGSTON AVE",
            "city": "PORT JERVIS",
            "state": "NY",
            "postal_code": "127711718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 MAIN ST",
            "city": "OSSINING",
            "state": "NY",
            "postal_code": "105624702",
            "telephone_number": "914-522-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1419 Shakespeare Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104521851",
            "country_code": "US",
            "telephone_number": "718-732-7080",
            "fax_number": "718-732-7090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAZIL",
        "first_name": "MARIEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2019-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "091127",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "087835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ossining, NY

Sources for this page

Verify at the official NPI Registry.