Individual provider Active NPI

Aviva Kamander

  • Clinical Social Worker
  • Bronx, NY
National Provider Identifier
1629395108
Registry record updated Jan 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
082021-1 Issued in NY
Practice address
521 W 239TH St
Bronx, NY 10463-1205
Phone
(718) 601-2280
Fax
(718) 601-2281
NPI assigned
Apr 23, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 082021-1 NY Primary

Addresses

Primary practice location

521 W 239TH St
Bronx, NY 10463-1205

Mailing address

521 W 239TH St
Bronx, NY 10463-1205
Phone (718) 601-2280

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
I20150713002359 NY Practitioner - Clinical Social Worker 6901023068 Reassigns benefits to 1 organization
Practice locations: Mamaroneck, NY; Rye, NY; White Plains, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

154 E Boston Post Rd
1A Authentic Vida
Mamaroneck, NY 10543-3755
Phone (646) 207-6494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
082021-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jul 23, 2014 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Jul 23, 2014 Accepting new patients

Locations

521 W 239th St
Bronx, NY 10463
Phone (718) 601-2280

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422662400000",
    "number": "1629395108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "521 W 239TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631205",
            "telephone_number": "718-601-2280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 W 239TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631205",
            "telephone_number": "718-601-2280",
            "fax_number": "718-601-2281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMANDER",
        "first_name": "AVIVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2015-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082021-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.