Individual provider Active NPI

Zachary Holtzman-Conston, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1710425640
Registry record updated Jul 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
092944 Issued in NY
Practice address
215 East 95TH Street
New York, NY 10128-4077
Phone
(212) 996-8000
Fax
(212) 423-3127
NPI assigned
Feb 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 020402 PA
Clinical Social Worker 1041C0700X 092944 NY Primary

Addresses

Primary practice location

215 East 95TH Street
New York, NY 10128-4077

Mailing address

92 Orchard St # 3
New York, NY 10002-3126
Phone (215) 917-6199

Other practice location 1

255 S 17th St
Philadelphia, PA 19103-6231
Phone (215) 917-6199

Other practice location 2

447 Atlantic Ave
Brooklyn, NY 11217-1702
Phone (718) 858-6300

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
I20220810002861 NY Practitioner - Clinical Social Worker 0547643405 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
020402PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Interborough Developmental and Consultation Center, Inc. CurrentSince Dec 30, 2025 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 22, 2022 Accepting new patients
Advantagecare Physicians PC CurrentSince Aug 22, 2022 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

447 Atlantic Ave
Brooklyn, NY 11217
Phone (718) 421-2131

1623 Kings Hwy
Brooklyn, NY 11229
Phone (718) 307-6800

55 Water St
Fl 2
New York, NY 10041

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

Interoperability endpoints

  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1486771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658880000000",
    "number": "1710425640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 ORCHARD ST # 3",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100023126",
            "telephone_number": "215-917-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 EAST 95TH STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101284077",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3127"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "255 S 17th St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191036231",
            "country_code": "US",
            "telephone_number": "215-917-6199",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "447 Atlantic Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112171702",
            "country_code": "US",
            "telephone_number": "718-858-6300",
            "fax_number": "718-858-0145",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTZMAN-CONSTON",
        "first_name": "ZACHARY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-11",
        "last_updated": "2022-07-27",
        "certification_date": "2022-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "020402",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "092944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.