Individual provider Active NPI

Sara J Tarullo, LCSW

  • Social Worker
  • New York, NY
National Provider Identifier
1497990360
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
084187 Issued in NY
Practice address
16 E 16TH St
New York, NY 10003-3105
Phone
(212) 924-7744
Fax
(212) 694-2786
NPI assigned
Dec 8, 2008
Last updated
Jul 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 084187 NY Primary

Addresses

Primary practice location

16 E 16TH St
New York, NY 10003-3105

Mailing address

92 Minna St
Brooklyn, NY 11218-2116
Phone (646) 285-3986

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240930003281 NY Practitioner - Clinical Social Worker 2668903741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greenwich House IncGroup PAC ID 0345137170, 9 clinicians

Practice addresses (Care Compare)

623 Broadway
FL 2
New York, NY 10012-2698
Phone (212) 242-4140

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
084187NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Greenwich House Inc CurrentSince Jul 26, 2024 Accepting new patients

Locations

122 W 27th St
Fl 6
New York, NY 10001
Phone (212) 691-2900

27 Barrow St
New York, NY 10014
Phone (212) 242-4140

623 Broadway
Fl 2
New York, NY 10012
Phone (212) 242-4140

Organizations & group practices 1

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": "1228694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1497990360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MINNA ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112182116",
            "telephone_number": "646-285-3986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 E 16TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100033105",
            "telephone_number": "212-924-7744",
            "fax_number": "212-694-2786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARULLO",
        "first_name": "SARA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-08",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "084187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.