Individual provider Active NPI

Kyle Suchomel, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1760808315
Registry record updated Mar 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
087518 Issued in NY
Practice address
1841 Broadway
Icp 4TH Floor
New York, NY 10023-7603
Phone
(212) 333-3444
NPI assigned
Mar 6, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 6, 2014

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 087518 NY Primary

Addresses

Primary practice location

1841 Broadway
Icp 4TH Floor
New York, NY 10023-7603

Mailing address

1841 Broadway
Icp 4TH Floor
New York, NY 10023

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394064000000",
    "number": "1760808315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY",
            "address_2": "ICP 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1841 BROADWAY",
            "address_2": "ICP 4TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100237603",
            "telephone_number": "212-333-3444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUCHOMEL",
        "first_name": "KYLE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-03-06",
        "last_updated": "2014-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.