Jack Salomon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R018549 Issued in NY

Practice address

615 Avenue L
Brooklyn, NY 11230-5121

Phone

(718) 375-0755

NPI assigned

May 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Yaakov Salomon Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Neurocare TMS, LLC

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1427406743
  NPD
• Stim Psychiatric PLLC

  • Psychiatry Physician
  • Brooklyn, NY
  • NPI 1295266302
  NPD (past)

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

{
    "created_epoch": "1464134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464134400000",
    "number": "1548618077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305121",
            "telephone_number": "718-375-0755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 AVENUE L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112305121",
            "telephone_number": "718-375-0755"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALOMON",
        "first_name": "JACK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-25",
        "last_updated": "2016-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R018549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YAAKOV",
            "last_name": "SALOMON",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Suzanne Clare Salner
• Aviva Baila Salomon, RPA-C
• Damani Salomon
• Eliana Salomon
• Gitty Salomon
• Joseph Salomon
• Keisha Salomon
• Keteline Salomon
• Marlena Sara Salomon, RN
• Marne Salomon, LCSW

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2016; 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.