Nicole Dantuono
Individual provider Active NPI Clinical Social Worker · Williston Park, NY
NPI 1720587249 · NPPES record last updated Jun 8, 2018
Key facts
- NPI
- 1720587249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 082820-1 (NY)
- Practice address
- 129 Hillside Ave
Williston Park, NY 11596 - Phone
- (631) 764-2235
- Fax
- (646) 784-5534
- NPI assigned
- Feb 10, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- North Shore-Lij Medical PC
Practice addresses (Care Compare)
75 -59
Glen Oaks, NY 11004-1150
Phone (718) 470-8100
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221011002165 | NY | Practitioner - Clinical Social Worker | 0648646950 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 082820-1 | NY | MD | Clinical Social Worker |
Practice roles (2 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current |
Accepting new patients | |
| North Shore - Lij Medical PC | Current |
Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
7559 263rd St
Glen Oaks, NY 11004
Phone (718) 470-8005
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 082820-1 | NY | Yes |
Addresses
Primary practice location
129 Hillside Ave
Williston Park, NY 11596
Mailing address
129 Hillside Ave
Williston Park, NY 11596-2305
Phone (631) 764-2235
Other providers in Williston Park, NY
- Marisa Cristina
- CVS Albany LLC
- Dayna D'Alessio
- Nicole D'Amico-Stonbraker
- Joseph Vincent D'Auria
- Maria Cristina Cristina David - Carrasco
- Henri-Robert Delbeau
- Hope Delane Demertzis
- Joshua Diaz
- Teresa Rosa Diblasi
All providers in Williston Park, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.