Active NPI
Bruce I. Karp, LCSW
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1740377563
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R-012069
- Practice address
- 1220 Avenue M
Suite 603
Brooklyn, NY 11230-5204 - Phone
- (718) 778-0840
- NPI assigned
- Oct 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | R-012069 | NY | Primary |
Addresses
Primary practice location
1220 Avenue M
Suite 603
Brooklyn, NY 11230-5204
Mailing address
686 Empire Blvd
Brooklyn, NY 11213
Phone (718) 778-0840
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 334889464 | Medicaid | NY | |
| 144892 | Other | NY | VALUEOPTIONSID |
| 0025783002 | Other | NY | GHI PROVIDERID |
| 010264901 | Medicaid | NY | |
| 144892 | Other | NY | VALUEOPTIONS ID |
Other names 1
- Mr. Yisroel Karp
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-012069 | NY | MD | Clinical Social Worker |
| 012069 | NY | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409616000000",
"number": "1740377563",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 EMPIRE BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11213",
"telephone_number": "718-778-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 AVENUE M",
"address_2": "SUITE 603",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112305204",
"telephone_number": "718-778-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KARP",
"first_name": "BRUCE",
"middle_name": "I.",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-05",
"last_updated": "2014-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R-012069",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "334889464",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONSID",
"identifier": "144892",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDERID",
"identifier": "0025783002",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010264901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS ID",
"identifier": "144892",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YISROEL",
"last_name": "KARP",
"prefix": "MR.",
"credential": "LCSW",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.