Individual provider Active NPI

Steven Krul

  • Clinical Social Worker
  • Cedarhurst, NY
National Provider Identifier
1508222456
Registry record updated Jan 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
083860 Issued in NY
Practice address
364 Rugby Rd
Cedarhurst, NY 11516-1124
Phone
(908) 337-0641
NPI assigned
Jan 7, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 7, 2016

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 083860 NY Primary

Addresses

Primary practice location

364 Rugby Rd
Cedarhurst, NY 11516-1124

Mailing address

364 Rugby Rd
Cedarhurst, NY 11516-1124
Phone (908) 337-0641

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
I20170524000693 NY Practitioner - Clinical Social Worker 3577830421 Practice locations: Lake Success, NY; Yonkers, NY; Woodmere, NY; Staten Island, NY; Hewlett, NY; Glen Cove, NY; Carmel, NY; Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Irving PL
Woodmere, NY 11598-1224
Phone (516) 712-6956

3010 W 33Rd St
Brooklyn, NY 11224-1404
Phone (908) 337-0641

63 Raymond PL
Hewlett, NY 11557-2309
Phone (908) 337-0641

838 Fair St
Carmel, NY 10512-3085
Phone (908) 337-0641

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
083860NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1508222456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 RUGBY RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161124",
            "telephone_number": "908-337-0641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "364 RUGBY RD",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161124",
            "telephone_number": "908-337-0641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRUL",
        "first_name": "STEVEN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "083860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

Verify at the official NPI Registry.