Bernard Jerome Koven

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

PR016795-1 Issued in NY

Practice address

775 Park Ave
Suite 110-8
Huntington, NY 11743-3976

Phone

(631) 269-5515

Fax

(631) 254-2470

NPI assigned

Nov 8, 2006

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1831269620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 110-8",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-269-5515",
            "fax_number": "631-254-2470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 110-8",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-269-5515",
            "fax_number": "631-254-2470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVEN",
        "first_name": "BERNARD",
        "middle_name": "JEROME",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR016795-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri Lynn Kosloff, LCSW
• Phyllis Kossak, PHD
• Monika Lillian Kost, PA
• Tara Marie Kotliar
• Elias Peter Kotsovolos, D.C.
• Anna M Kowalczyk, RPA-C
• Joseph R Kozlowski, MSPT
• Danielle Kraatz, MS.ED., NCSP
• Denise Newirth Kramer, LCAT
• Diane Kramer, PH.D.

• Clinical Social Worker in Huntington, NY
• Providers in Huntington, 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 Jul 8, 2007; 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.