Active NPI
Johnny Lau
- Clinical Social Worker
- Melville, NY
National Provider Identifier
1720428139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 538 Broadhollow Rd
Suite 202
Melville, NY 11747-3676 - Phone
- (631) 385-7780
- Fax
- (631) 385-7795
- NPI assigned
- Jun 29, 2013
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
538 Broadhollow Rd
Suite 202
Melville, NY 11747-3676
Mailing address
538 Broadhollow Rd
Suite 202
Melville, NY 11747-3676
Phone (631) 385-7780
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Achieve Beyone | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Exclusive Provider Organization
- Melville, NY
- NPI 1538540356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372464000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1372464000000",
"number": "1720428139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "538 BROADHOLLOW RD",
"address_2": "SUITE 202",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473676",
"telephone_number": "631-385-7780",
"fax_number": "631-385-7795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "538 BROADHOLLOW RD",
"address_2": "SUITE 202",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473676",
"telephone_number": "631-385-7780",
"fax_number": "631-385-7795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAU",
"first_name": "JOHNNY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-06-29",
"last_updated": "2013-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.