Individual provider Active NPI

Joan W. Flum, LCSW

  • Health Maintenance Organization
  • Roslyn Heights, NY
National Provider Identifier
1568485704
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
R028014 Issued in NY
Practice address
100 Carlyle PL
Roslyn Heights, NY 11577-1206
Phone
(516) 625-8424
Fax
(516) 625-8424
NPI assigned
Jul 26, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X R028014 NY Primary

Addresses

Primary practice location

100 Carlyle PL
Roslyn Heights, NY 11577-1206

Mailing address

100 Carlyle PL
Roslyn Heights, NY 11577-1206
Phone (516) 625-8424

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
I20150826001813 NY Practitioner - Clinical Social Worker 8123334877 Practice locations: Roslyn Heights, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Carlyle PL
Roslyn Heights, NY 11577-1206
Phone (516) 625-8414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R028014NYMDHealth Maintenance Organization

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1568485704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CARLYLE PL",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771206",
            "telephone_number": "516-625-8424",
            "fax_number": "516-625-8424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARLYLE PL",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771206",
            "telephone_number": "516-625-8424",
            "fax_number": "516-625-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLUM",
        "first_name": "JOAN",
        "middle_name": "W.",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NY",
            "license": "R028014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

Verify at the official NPI Registry.