Active NPI
Adolfo E Profumo, LCSW
- Social Worker
- New York, NY
National Provider Identifier
1851462741
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R0394831
- Practice address
- 350 Central Park W
Suite 1Ad
New York, NY 10025-6547 - Phone
- (212) 678-2015
- Fax
- (212) 280-2424
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R0394831 | NY | Primary |
Addresses
Primary practice location
350 Central Park W
Suite 1Ad
New York, NY 10025-6547
Mailing address
350 Central Park West
Suite 1Ad
New York, NY 10025
Phone (212) 678-2015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R0394831 | NY | MD | Social Worker |
| 039483 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851462741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "350 CENTRAL PARK WEST",
"address_2": "SUITE 1AD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10025",
"telephone_number": "212-678-2015",
"fax_number": "212-280-2424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 CENTRAL PARK W",
"address_2": "SUITE 1AD",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100256547",
"telephone_number": "212-678-2015",
"fax_number": "212-280-2424"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROFUMO",
"first_name": "ADOLFO",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R0394831",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
- Sarah Randrup Proffit, NP-C
- Profitness Physical Therapy
- Profitness Physical Therapy PC
- Elizabeth Anne Profozich, MD
- Alison Proft
- Cristina Profumo, M.D.
- Progressive Behavioral Psychology Services New York PC
- Progressive Care Medical Group, PLLC
- Progressive Dynamic Designs, Inc.
- Progressive Foot Care Associates
Sources for this page
- 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.