Individual provider Active NPI

Robert Meislin, LCSW

  • Clinical Social Worker
  • Oceanside, NY
National Provider Identifier
1841377165
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
PR021329-1 Issued in NY
Practice address
3281 Shore Rd
Oceanside, NY 11572-2822
Phone
(516) 764-2046
Fax
(516) 764-0644
NPI assigned
Nov 1, 2006
Last updated
Jul 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X PR021329-1 NY
Clinical Social Worker 1041C0700X PR021329-1 NY Primary

Addresses

Primary practice location

3281 Shore Rd
Oceanside, NY 11572-2822

Mailing address

3281 Shore Rd
Oceanside, NY 11572-2822
Phone (516) 764-2046

Other practice location 1

112 Franklin Pl
Woodmere, NY 11598-1253
Phone (516) 374-3671

Other identifiers 1

IdentifierTypeStateIssuer
PR021329-1OtherNYNY LICENSE #

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
I20111114000331 NY Practitioner - Clinical Social Worker 5597939322 Reassigns benefits to 1 organization
Practice locations: Oceanside, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tempo Group, Inc.Group PAC ID 5799877262, 5 clinicians

Practice addresses (Care Compare)

112 Franklin PL
Woodmere, NY 11598-1217
Phone (516) 374-3671

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR021329-1NYMDSocial Worker
021329-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tempo Youth Services, Inc. Social Worker CurrentSince Mar 19, 2023 Accepting new patients
Tempo Group, Inc. CurrentSince Jul 22, 2019 Accepting new patients

Locations

1260 Meadowbrook Rd
North Merrick, NY 11566
Phone (516) 374-3671

23 Willis Ave
Syosset, NY 11791

112 Franklin Pl
Woodmere, NY 11598
Phone (516) 374-3671

Organizations & group practices 2

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1841377165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3281 SHORE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722822",
            "telephone_number": "516-764-2046",
            "fax_number": "516-764-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3281 SHORE RD",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722822",
            "telephone_number": "516-764-2046",
            "fax_number": "516-764-0644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "112 Franklin Pl",
            "address_purpose": "LOCATION",
            "city": "Woodmere",
            "state": "NY",
            "postal_code": "115981253",
            "country_code": "US",
            "telephone_number": "516-374-3671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEISLIN",
        "first_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-07-14",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "PR021329-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "PR021329-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE #",
            "identifier": "PR021329-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, NY

Sources for this page

Verify at the official NPI Registry.