Active NPI
Jeff Perls, LCSWR
- Social Worker
- Kingston, NY
National Provider Identifier
1497816219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R037224
- Practice address
- 465 Broadway
Kingston, NY 12401-4627 - Phone
- (845) 340-0244
- Fax
- (845) 340-0141
- NPI assigned
- Dec 13, 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R037224 | NY | Primary |
Addresses
Primary practice location
465 Broadway
Kingston, NY 12401-4627
Mailing address
465 Broadway
Kingston, NY 12401-4627
Phone (845) 340-0244
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050303000878 | NY | Practitioner - Clinical Social Worker | 6608820576 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Putnam Family and Community Services Inc
Practice addresses (Care Compare)
1808 Route 6
Carmel, NY 10512-2356
Phone 84522527000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R037224 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Behavioral Management Services, Inc. | Past | Accepting new patients | |
| Putnam Family and Community Services Inc | Past | Accepting new patients | |
| Errol R. Nadler LCSW, P.C. | Social Worker | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Carmel, NY
- NPI 1972458545
-
- Cognitive & Behavioral Psychologist
- Poughkeepsie, NY
- NPI 1629051149
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165968000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1497816219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "465 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014627",
"telephone_number": "845-340-0244",
"fax_number": "845-340-0141"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "465 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014627",
"telephone_number": "845-340-0244",
"fax_number": "845-340-0141"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLS",
"first_name": "JEFF",
"name_prefix": "Mr.",
"credential": "LCSWR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-13",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R037224",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kingston, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.