Nathan Etrog, LCSW-R

Primary specialty

Social WorkerTaxonomy code 104100000X

License

R 011933 Issued in NY

Practice address

521 Beach 20TH St
Far Rockaway, NY 11691-3645

Phone

(718) 869-8822

Fax

(718) 869-8829

NPI assigned

Mar 26, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Clinical Social Worker

Education

Other, 1969

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Seth Benkel MD PLLCGroup PAC ID 8325331317, 14 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Seth Benkel, MD, PLLC

  • Internal Medicine Physician
  • Far Rockaway, NY
  • NPI 1518313188
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510185600000",
    "number": "1548388127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 CAYUGA AVE",
            "city": "ATLANTIC BEACH",
            "state": "NY",
            "postal_code": "115091219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 BEACH 20TH ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116913645",
            "telephone_number": "718-869-8822",
            "fax_number": "718-869-8829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ETROG",
        "first_name": "NATHAN",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2017-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R 011933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT. OF ED. LICENSE",
            "identifier": "R011933",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jarrel Garing Espinili Jr.
• Luis Esquilin Jr., LMSW, MSSW, BS, BLS
• Amber Esquiln
• Essential Therapy PT OT and SLP PLLC
• Omar E Eton, MD
• Natalie Eugene
• Lois A Evron, LCSW
• Exclusive Ambulette Service, Inc.
• Expert Anesthesiology Services, P.C.
• Florence M Eyenga Akono Nsom, MD

• Social Worker in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2017; 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.

Verify at the official NPI Registry.