Raymond Michael Kozma, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

R043500-1 Issued in NY

Practice address

585 N Railroad Ave Apt 3D
Staten Island, NY 10304-3938

Phone

(917) 406-3782

NPI assigned

Oct 26, 2009

Last updated

Dec 2, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, CT2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Fordham University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Counseling CenterGroup PAC ID 7618239393, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
• FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/

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.

• Cornerstone Counseling Center

  • Professional Counselor
  • Waterbury, CT
  • NPI 1316486889

  Clinical

  Medicare reassignment Care Compare group NPD
• Integrity Social Work Services LLC

  dba Integrity Senior Services

  • Mental Health Counselor
  • Staten Island, NY
  • NPI 1972715456

  Clinical

  Medicare reassignment NPD
• Blanton-Peale Institute

  • Mental Health Counselor
  • New York City, NY
  • NPI 1225195787
  NPD (past)
• The New York and Presbyterian Hospital

  dba NewYork-Presbyterian Hospital

  • General Acute Care Hospital
  • New York, NY
  • NPI 1194832477
  NPD (past)

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1780910851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 N RAILROAD AVE APT 3D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043938",
            "telephone_number": "917-406-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 N RAILROAD AVE APT 3D",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103043938",
            "telephone_number": "917-406-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOZMA",
        "first_name": "RAYMOND",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-26",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R043500-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janice Kowalski, LMSW
• Marcin Kowalski, MD
• Vincent Thomas Kowalski, LCSW
• Mikhail Kozlov, PHARMD
• Paulina Kozlowski, M.D.
• KP RX LLC
• KP RX LLC
• Joyce Hajah Kpofolo
• Golder Kportufe
• Sabina Kraja

• Clinical Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.