Denis E Blumberg LCSW-R, P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

006452-1 Issued in NY

Legal business name

DENIS E BLUMBERG LCSW-R, P.C.

Practice address

5619 Metropolitan Ave
Ridgewood, NY 11385-1958

Phone

(718) 541-0884

Fax

(718) 366-3355

NPI assigned

Oct 5, 2016

Organization subpart

Yes

Parent organization

DENIS E BLUMBERG LCSW-R, P.C.As reported in NPPES

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

Authorized official

Name

Mr. Denis E Blumberg, LCSW-R, CASAC

Title

Owner

Phone

(347) 563-7959

Specialties & licenses 1

Addresses

Other names 1

• Denis E Blumberg LCSW-R, P.C. Former legal business name

Tax ID family

Denis Eduardo Blumberg LCSW-R2 organizations share this tax ID, including this one

Part of

Denis Eduardo Blumberg LCSW-R

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Denis Eduardo Blumberg LCSW-R

  • Community/Behavioral Health Agency
  • Oceanside, NY
  • NPI 1013146224
  NPD tax ID

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Denis E Blumberg LCSW-R, P.C.

  • Community/Behavioral Health Agency
  • Ridgewood, NY
  • NPI 1376099341
  NPPES parent name

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

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1811447667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3123 TRINITY ST",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115723222",
            "telephone_number": "516-445-4386",
            "fax_number": "718-366-3355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5619 METROPOLITAN AVE",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113851958",
            "telephone_number": "718-541-0884",
            "fax_number": "718-366-3355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENIS E BLUMBERG LCSW-R, P.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DENIS E BLUMBERG LCSW-R, P.C.",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "BLUMBERG",
        "authorized_official_first_name": "DENIS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-563-7959",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW-R, CASAC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "006452-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denis E Blumberg LCSW-R, P.C.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Bryan Joseph Gicana De la Cruz, PT
• Anna Dec, CASAC
• Gadi Dekel, DMD
• Justina Delgado
• Denis E Blumberg LCSW-R, P.C.
• Denis Eduardo Blumberg, LCSW, P.C.
• Dental Artes LLC
• Dental Care of Ridgewood, P.C.
• Bhavna Rajesh Devnani, PT
• Sagar Dhandia, OD

• Community/Behavioral Health Agency in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.