Individual provider Active NPI

Barry Zaks, LMSW CASAC

  • Social Worker
  • Amityville, NY
National Provider Identifier
1548552383
Registry record updated May 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
079113 Issued in NY
Practice address
400 Sunrise Hwy
Carone Hall, 1St Floor
Amityville, NY 11701-2508
Phone
(631) 608-5310
Fax
(631) 264-4509
NPI assigned
May 12, 2011
Last updated
May 12, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 12, 2011

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 079113 NY Primary

Addresses

Primary practice location

400 Sunrise Hwy
Carone Hall, 1St Floor
Amityville, NY 11701-2508

Mailing address

400 Sunrise Hwy
Carone Hall, 1St Floor
Amityville, NY 11701-2508
Phone (631) 608-5310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
079113NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1305158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305158400000",
    "number": "1548552383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "address_2": "CARONE HALL, 1ST FLOOR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-608-5310",
            "fax_number": "631-264-4509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 SUNRISE HWY",
            "address_2": "CARONE HALL, 1ST FLOOR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117012508",
            "telephone_number": "631-608-5310",
            "fax_number": "631-264-4509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKS",
        "first_name": "BARRY",
        "name_prefix": "Mr.",
        "credential": "LMSW CASAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-05-12",
        "last_updated": "2011-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "079113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.