Individual provider Active NPI

Jonathan Haimoff

  • Clinical Social Worker
  • Cedarhurst, NY
National Provider Identifier
1497488753
Registry record updated Apr 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
118713 Issued in NY
Practice address
144 Grove Ave
Cedarhurst, NY 11516-2324
Phone
(516) 567-5129
NPI assigned
Jul 5, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2025

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 118713 NY Primary

Addresses

Primary practice location

144 Grove Ave
Cedarhurst, NY 11516-2324

Mailing address

145 Acapulco St
Atlantic Beach, NY 11509-1103
Phone (516) 567-5129

Other practice location 1

145 Acapulco St
Atlantic Beach, NY 11509-1103
Phone (516) 567-5129

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
118713NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1656979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745884800000",
    "number": "1497488753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ACAPULCO ST",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091103",
            "telephone_number": "516-567-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 GROVE AVE",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115162324",
            "telephone_number": "516-567-5129"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Acapulco St",
            "address_purpose": "LOCATION",
            "city": "Atlantic Beach",
            "state": "NY",
            "postal_code": "115091103",
            "country_code": "US",
            "telephone_number": "516-567-5129",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAIMOFF",
        "first_name": "JONATHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-05",
        "last_updated": "2025-04-29",
        "certification_date": "2025-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "118713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2025; 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.