Active NPI
Eugene Doyle, LMSW
- Social Worker
- Howard Beach, NY
National Provider Identifier
1609001379
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72-019169
- Practice address
- 10212 164TH Ave
Howard Beach, NY 11414-4010 - Phone
- (718) 843-2290
- Fax
- (718) 843-2291
- NPI assigned
- May 23, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 72-019169 | NY | Primary |
Addresses
Primary practice location
10212 164TH Ave
Howard Beach, NY 11414-4010
Mailing address
10212 164TH Ave
Howard Beach, NY 11414-4010
Phone (718) 843-2290
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01111242 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 72-019169 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1243036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1243036800000",
"number": "1609001379",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10212 164TH AVE",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114144010",
"telephone_number": "718-843-2290",
"fax_number": "718-843-2291"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10212 164TH AVE",
"city": "HOWARD BEACH",
"state": "NY",
"postal_code": "114144010",
"telephone_number": "718-843-2290",
"fax_number": "718-843-2291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "EUGENE",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-05-23",
"last_updated": "2009-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72-019169",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01111242",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Howard Beach, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.