Individual provider Active NPI

Eugenia S Rozenberg, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1790871945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R055132-1 Issued in NY
Practice address
2020 Coney Island Ave
Midbrooklyn Clinic
Brooklyn, NY 11223-2329
Phone
(718) 676-4221
Fax
(718) 676-4216
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

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
Clinical Social Worker 1041C0700X R055132-1 NY Primary

Addresses

Primary practice location

2020 Coney Island Ave
Midbrooklyn Clinic
Brooklyn, NY 11223-2329

Mailing address

1610 Avenue P
App. 3-O
Brooklyn, NY 11229-1153
Phone (718) 336-5066

Other identifiers 1

IdentifierTypeStateIssuer
00055132MedicaidNY

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
I20071002000389 NY Practitioner - Clinical Social Worker 3274628581 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1610 Ave P
Apt 3O
Brooklyn, NY 11229-1142
Phone (347) 729-9292

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R055132-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Board of Family & Childrens Services Inc CurrentSince Jul 1, 1992 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince Jul 1, 1992 Accepting new patients
Anton P Ginzburg DPM PC Past Accepting new patients

Locations

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

2020 Coney Island Ave
Brooklyn, NY 11223
Phone (718) 676-4210

938 Kings Hwy
Brooklyn, NY 11223
Phone (718) 998-3235

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790871945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 AVENUE P",
            "address_2": "APP. 3-O",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291153",
            "telephone_number": "718-336-5066",
            "fax_number": "718-336-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CONEY ISLAND AVE",
            "address_2": "MIDBROOKLYN CLINIC",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112232329",
            "telephone_number": "718-676-4221",
            "fax_number": "718-676-4216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROZENBERG",
        "first_name": "EUGENIA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R055132-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00055132",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.