Individual provider Active NPI

Yitzchok Aryeh Poliakoff, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1518334879
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
089569 Issued in NY
Practice address
495 W 187TH St
New York, NY 10033-1519
Phone
(347) 878-0485
NPI assigned
Aug 21, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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 089569 NY Primary

Addresses

Primary practice location

495 W 187TH St
New York, NY 10033-1519

Mailing address

3211 Fallstaff Rd
Baltimore, MD 21215-1720
Phone (347) 878-0485

Other names 1

  • Ari Poliakoff Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210218000650 NY Practitioner - Clinical Social Worker 3971918228 Practice locations: New York, NY
I20220712004231 MD Practitioner - Clinical Social Worker 3971918228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

New York, NY 10033
Phone (347) 878-0485

3211 Fallstaff Rd
Baltimore, MD 21215-1720

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
089569NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ari Poliakoff LLC Clinical CurrentSince Jun 22, 2022 Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1518334879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3211 FALLSTAFF RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212151720",
            "telephone_number": "347-878-0485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 W 187TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100331519",
            "telephone_number": "347-878-0485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLIAKOFF",
        "first_name": "YITZCHOK",
        "middle_name": "ARYEH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "089569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ARI",
            "last_name": "POLIAKOFF",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.