Active NPI
Ravi Bhasin, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1497704852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R055454-1
- Practice address
- 340 E 24TH St
Suite # 331, Icd-Int'L Center for the Disabled
New York, NY 10010-4019 - Phone
- (212) 585-6246
- Fax
- (212) 585-6052
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
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 | R055454-1 | NY | Primary |
Addresses
Primary practice location
340 E 24TH St
Suite # 331, Icd-Int'L Center for the Disabled
New York, NY 10010-4019
Mailing address
340 E 24TH St
Icd- Int'L Center for the Disaled, Suite #331
New York, NY 10010-4019
Phone (212) 585-6246
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 |
|---|---|---|---|
| R055454-1 | NY | MD | Clinical Social Worker |
| 055454 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497704852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "340 E 24TH ST",
"address_2": "ICD- INT'L CENTER FOR THE DISALED, SUITE #331",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104019",
"telephone_number": "212-585-6246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 E 24TH ST",
"address_2": "SUITE # 331, ICD-INT'L CENTER FOR THE DISABLED",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100104019",
"telephone_number": "212-585-6246",
"fax_number": "212-585-6052"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BHASIN",
"first_name": "RAVI",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R055454-1",
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.