Active NPI
Carly Syd Kisberg
- Social Worker
- New York, NY
National Provider Identifier
1902180516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 72 084711
- Practice address
- 333 East 46TH Street
Apartment 7K
New York, NY 10017 - Phone
- (201) 638-9359
- NPI assigned
- Sep 30, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 72 084711 | NY | Primary |
Addresses
Primary practice location
333 East 46TH Street
Apartment 7K
New York, NY 10017
Mailing address
333 East 46TH Street
Apartment 7K
New York, NY 10017
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 |
|---|---|---|---|
| 72 084711 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1317340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1317340800000",
"number": "1902180516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "333 EAST 46TH STREET",
"address_2": "APARTMENT 7K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 EAST 46TH STREET",
"address_2": "APARTMENT 7K",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10017",
"telephone_number": "201-638-9359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISBERG",
"first_name": "CARLY",
"middle_name": "SYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-30",
"last_updated": "2011-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "72 084711",
"primary": true
}
],
"identifiers": [],
"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 Sep 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.