Peter Gambino, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082889-1 Issued in NY

Practice address

8340 Austin St Apt 3X
Kew Gardens, NY 11415-1812

Phone

(917) 579-7482

NPI assigned

Apr 11, 2011

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

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

Specialty

Clinical Social Worker

Education

City University of New York School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Institute for Community Living , Inc.Group PAC ID 3870482391, 18 clinicians

University Settlement Society of New YorkGroup PAC ID 4486545662, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Institute for Community Living , Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1558494930
  Medicare reassignment Care Compare group NPD
• University Settlement Society of New York

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New York, NY
  • NPI 1346232345
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1302480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1831489962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8340 AUSTIN STREET",
            "address_2": "3X",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "11415",
            "telephone_number": "917-579-7482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8340 AUSTIN ST APT 3X",
            "city": "KEW GARDENS",
            "state": "NY",
            "postal_code": "114151812",
            "telephone_number": "917-579-7482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBINO",
        "first_name": "PETER",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-11",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082889-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeanne A. Friedman, LCSW, ATR
• Gabriel Fulop, D.D.S.
• Sarah Shelley Fuzailov
• Irina Fuzaylova
• Kate Sarah Gallagher, M.S. CCC-SLP
• Rosanne Gangi-Gaertner, MA CCC-SLP
• Jacob Ganz, LMHC
• Christina Garcia
• Larisa Gavrielova
• George Chase Medical Physician PLLC

• Clinical Social Worker in Kew Gardens, NY
• Providers in Kew Gardens, 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 Apr 11, 2011; 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.