Individual provider Active NPI

Margery Rifkin David, L CSW

  • Clinical Social Worker
  • Dix Hills, NY
National Provider Identifier
1861546319
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0242941 Issued in NY
Practice address
1 Ryder Court
Dix Hills, NY 11746-6157
Phone
(631) 243-3298
Fax
(631) 243-6010
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 R0242941 NY Primary

Addresses

Primary practice location

1 Ryder Court
Dix Hills, NY 11746-6157

Mailing address

1 Ryder CT
Dix Hills, NY 11746-6157
Phone (631) 243-3298

Other identifiers 2

IdentifierTypeStateIssuer
CS942OtherNYOXFORD
01964305MedicaidNY

Other names 1

  • Margery Beth Rifkin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Jan 1, 2025 through Jan 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0242941NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861546319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 RYDER CT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466157",
            "telephone_number": "631-243-3298",
            "fax_number": "631-243-6010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 RYDER COURT",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117466157",
            "telephone_number": "631-243-3298",
            "fax_number": "631-243-6010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVID",
        "first_name": "MARGERY",
        "middle_name": "RIFKIN",
        "name_prefix": "Mrs.",
        "credential": "L CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0242941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "CS942",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01964305",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARGERY",
            "last_name": "RIFKIN",
            "middle_name": "BETH",
            "credential": "CSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dix Hills, NY

Sources for this page

Verify at the official NPI Registry.