Individual provider Active NPI

Ron Gornie, L.C.S.W.

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1851448591
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R028145-1 Issued in NY
Practice address
14732 Jamaica Ave
Jamaica, NY 11435-4042
Phone
(718) 526-8400
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R028145-1 NY Primary

Addresses

Primary practice location

14732 Jamaica Ave
Jamaica, NY 11435-4042

Mailing address

54 Joyce Rd
Plainview, NY 11803-3912
Phone (516) 938-5396

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
I20111118000497 NY Practitioner - Clinical Social Worker 8729252234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Services for New York, Inc.Group PAC ID 7719932540, 13 clinicians

Practice addresses (Care Compare)

9027 Sutphin Blvd
Suite 5
Jamaica, NY 11435-3648
Phone (718) 526-8400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R028145-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York, Inc CurrentSince Apr 15, 1996 Accepting new patients
Transitional Services for New York,Inc. Past Accepting new patients

Locations

9027 Sutphin Blvd
Ste 5
Jamaica, NY 11435
Phone (718) 526-8400

14732 Jamaica Ave
Jamaica, NY 11435
Phone (718) 206-2002

1016 162nd St
Whitestone, NY 11357
Phone (718) 746-6647

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1851448591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 JOYCE RD",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118033912",
            "telephone_number": "516-938-5396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14732 JAMAICA AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114354042",
            "telephone_number": "718-526-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORNIE",
        "first_name": "RON",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R028145-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.