Active NPI
Edward Dana, DSW
- Clinical Social Worker
- Springfield Gardens, NY
National Provider Identifier
1871894378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- RO36427-1
- Practice address
- 13625 218TH St
Springfield Gardens, NY 11413-2226 - Phone
- (718) 525-3414
- Fax
- (718) 525-0982
- NPI assigned
- Nov 15, 2010
- 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 | RO36427-1 | NY | Primary |
Addresses
Primary practice location
13625 218TH St
Springfield Gardens, NY 11413-2226
Mailing address
9 Ashland St
Mount Sinai, NY 11766-2901
Phone (631) 473-8051
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 |
|---|---|---|---|
| RO36427-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin de Porres School for Exceptional Children | Past | Accepting new patients | |
| Martin de Porres School for Exceptional Children, Inc. | Past | Accepting new patients |
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Springfield Gardens, NY
- NPI 1275858847
-
dba Martin de Porres School
- Voluntary or Charitable Agency
- Springfield Gardens, NY
- NPI 1174852123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289779200000",
"number": "1871894378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 ASHLAND ST",
"city": "MOUNT SINAI",
"state": "NY",
"postal_code": "117662901",
"telephone_number": "631-473-8051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13625 218TH ST",
"city": "SPRINGFIELD GARDENS",
"state": "NY",
"postal_code": "114132226",
"telephone_number": "718-525-3414",
"fax_number": "718-525-0982"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANA",
"first_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "DSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-11-15",
"last_updated": "2010-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "RO36427-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield Gardens, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.