Active NPI
Jonas D Gayer, LCSW
- Clinical Social Worker
- Hollis, NY
National Provider Identifier
1851389621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R032936
- Practice address
- 8146 188TH St
Hollis, NY 11423-1065 - Phone
- (718) 454-3764
- Fax
- (718) 454-3764
- NPI assigned
- Oct 6, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R032936 | NY | Primary |
Addresses
Primary practice location
8146 188TH St
Hollis, NY 11423-1065
Mailing address
8146 188TH St
Hollis, NY 11423-1065
Phone (718) 454-3764
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3040114 | Other | NY | OXFORD |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070723000222 | NY | Practitioner - Clinical Social Worker | 4385745280 | Practice locations: Northport, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
69 Woodhull PL
Northport, NY 11768-2839
Phone (917) 553-1125
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R032936 | NY | MD | Clinical Social Worker |
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851389621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8146 188TH ST",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114231065",
"telephone_number": "718-454-3764",
"fax_number": "718-454-3764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8146 188TH ST",
"city": "HOLLIS",
"state": "NY",
"postal_code": "114231065",
"telephone_number": "718-454-3764",
"fax_number": "718-454-3764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAYER",
"first_name": "JONAS",
"middle_name": "D",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-10-06",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R032936",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3040114",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hollis, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.