Active NPI
Eli Adler, LMSW
- Clinical Social Worker
- New Square, NY
National Provider Identifier
1902628993
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 125513
- Practice address
- 728 N Main St
New Square, NY 10977-8916 - Phone
- (845) 354-9733
- NPI assigned
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- No
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 | 125513 | NY | Primary |
Addresses
Primary practice location
728 N Main St
New Square, NY 10977-8916
Mailing address
185 Passaic Ave Apt 5
Passaic, NJ 07055-4728
Phone (973) 666-2467
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 |
|---|---|---|---|
| 125513 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730246400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730246400000",
"number": "1902628993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "185 PASSAIC AVE APT 5",
"city": "PASSAIC",
"state": "NJ",
"postal_code": "070554728",
"telephone_number": "973-666-2467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "728 N MAIN ST",
"city": "NEW SQUARE",
"state": "NY",
"postal_code": "109778916",
"telephone_number": "845-354-9733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADLER",
"first_name": "ELI",
"name_prefix": "Mr.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-30",
"last_updated": "2024-10-30",
"certification_date": "2024-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "125513",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in New Square, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.