Active NPI
Jay F Pinkerton, LCSW
- Clinical Social Worker
- New York, NY
National Provider Identifier
1891914446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R049009-1
- Practice address
- 80 8TH Ave
#1305
New York, NY 10011-5126 - Phone
- (212) 712-2784
- NPI assigned
- Apr 24, 2007
- Last updated
- Jul 19, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02868922 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW-3029 | HI | MD | Clinical Social Worker |
| R049009-1 | NY | MD | Clinical Social Worker |
| 049009 | NY | MD | Dentist |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.