John E. Imhof

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

024670 Issued in NY

Practice address

70 Glen Cove Rd Ste 207
Roslyn Heights, NY 11577-1730

Phone

(516) 443-2110

NPI assigned

Mar 18, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1699351957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 S NASSAU ST",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117144333",
            "telephone_number": "516-443-2110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD STE 207",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771730",
            "telephone_number": "516-443-2110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IMHOF",
        "first_name": "JOHN",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "024670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "office",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "office",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "office",
            "address_1": "70 Glen Cove Rd Ste 207",
            "city": "Roslyn Heights",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115771730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Clinical Social Worker in Roslyn Heights, NY
• Providers in Roslyn Heights, 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 Mar 18, 2021; 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.