Individual provider Active NPI

Aviva Zigelman

  • Social Worker
  • Great Neck, NY
National Provider Identifier
1740262310
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R0191571 Issued in NY
Practice address
445 Northern Blvd
Ste 12
Great Neck, NY 11021-4804
Phone
(516) 625-1617
Fax
(718) 423-9705
NPI assigned
Nov 18, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

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
Social Worker 104100000X R0191571 NY Primary

Addresses

Primary practice location

445 Northern Blvd
Ste 12
Great Neck, NY 11021-4804

Mailing address

445 Northern Blvd
Ste 12
Great Neck, NY 11021-4804
Phone (516) 625-1617

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
I20050914000079 NY Practitioner - Clinical Social Worker 7618900325 Reassigns benefits to 1 organization
Practice locations: Great Neck, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

445 Northern Blvd
Suite 12
Great Neck, NY 11021-4804
Phone (516) 625-1617

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0191571NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Great Neck Counseling, LCSW, PLLC CurrentSince Nov 3, 2015 Accepting new patients
Fertility and Family Life Counseling Social Worker PastSince Jan 1, 1990 Accepting new patients

Locations

445 Northern Blvd
Ste 12
Great Neck, NY 11021
Phone (516) 625-1617

Networks

  • Healthfirst Medicare Network H9678

Organizations & group practices 2

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740262310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 NORTHERN BLVD",
            "address_2": "STE 12",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214804",
            "telephone_number": "516-625-1617",
            "fax_number": "718-423-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 NORTHERN BLVD",
            "address_2": "STE 12",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110214804",
            "telephone_number": "516-625-1617",
            "fax_number": "718-423-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIGELMAN",
        "first_name": "AVIVA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R0191571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Neck, NY

Sources for this page

Verify at the official NPI Registry.