Active NPI
Jonathan Haimoff
- Clinical Social Worker
- Cedarhurst, NY
National Provider Identifier
1497488753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118713
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 118713 | NY | MD | Clinical 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.