Individual provider Active NPI

Jay F Pinkerton, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1891914446
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R049009-1 Issued in NY
Practice address
80 8TH Ave
#1305
New York, NY 10011-5126
Phone
(212) 712-2784
NPI assigned
Apr 24, 2007
Last updated
Jul 19, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R049009-1 NY Primary
Clinical Social Worker 1041C0700X LCSW-3029 HI

Addresses

Primary practice location

80 8TH Ave
#1305
New York, NY 10011-5126

Mailing address

332 Bleecker St
#K-31
New York, NY 10014-2980
Phone (212) 712-2784

Other identifiers 1

IdentifierTypeStateIssuer
02868922MedicaidNY

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
I20110110000575 NY Practitioner - Clinical Social Worker 5496944282 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 W 73Rd St
Apt 5C
New York, NY 10023-2918
Phone (212) 712-2784

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW-3029HIMDClinical Social Worker
R049009-1NYMDClinical Social Worker
049009NYMDDentist

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1891914446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 BLEECKER ST",
            "address_2": "#K-31",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100142980",
            "telephone_number": "212-712-2784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 8TH AVE",
            "address_2": "#1305",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115126",
            "telephone_number": "212-712-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINKERTON",
        "first_name": "JAY",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-24",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R049009-1",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "HI",
            "license": "LCSW-3029",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02868922",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.