Individual provider Active NPI

Amy Muskin Galan

  • Clinical Social Worker
  • Lawrence, NY
National Provider Identifier
1710042288
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73 069462 Issued in NY
Practice address
272 Pearl St
Lawrence, NY 11559-1229
Phone
(917) 273-3177
NPI assigned
Dec 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Clinical Social Worker 1041C0700X 73 069462 NY Primary

Addresses

Primary practice location

272 Pearl St
Lawrence, NY 11559-1229

Mailing address

20 Richfield St
Plainview, NY 11803-2249
Phone (516) 465-3699

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
I20060221000887 NY Practitioner - Clinical Social Worker 5799791240 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Fordham University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespire, Inc.Group PAC ID 5496644015, 11 clinicians

Practice addresses (Care Compare)

159 E 125TH St
FL 2
New York, NY 10035-1716
Phone (212) 360-5600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73 069462NYMDClinical Social Worker
069462NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Lifespire, Inc. CurrentSince Sep 17, 2018 Accepting new patients
The Shield of David, Inc. CurrentSince Apr 3, 2017 Accepting new patients
Lifespire, Inc. CurrentSince Sep 17, 2018 Accepting new patients
Beacon Speech-Language Pathology Physical and Occupational Therapy CurrentSince Jun 1, 2017 Accepting new patients

Locations

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

14461 Roosevelt Ave
Flushing, NY 11354
Phone (718) 886-1534

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

1441 Old Northern Blvd
Roslyn, NY 11576
Phone (516) 625-6846

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1167091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1710042288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 RICHFIELD ST",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118032249",
            "telephone_number": "516-465-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "272 PEARL ST",
            "city": "LAWRENCE",
            "state": "NY",
            "postal_code": "115591229",
            "telephone_number": "917-273-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSKIN GALAN",
        "first_name": "AMY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "73 069462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, NY

Sources for this page

Verify at the official NPI Registry.