Individual provider Active NPI

Martin I. (Initial Only) Garfinkle, PHD

  • Clinical Social Worker
  • Staten Island, NY
National Provider Identifier
1902960834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO17936 Issued in NY
Practice address
55 President St
Staten Island, NY 10314-4154
Phone
(718) 370-3134
Fax
(718) 982-7006
NPI assigned
Dec 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO17936 NY Primary

Addresses

Primary practice location

55 President St
Staten Island, NY 10314-4154

Mailing address

55 President St
Staten Island, NY 10314-4154
Phone (718) 370-3134

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
I20101117001019 NY Practitioner - Clinical Social Worker 1254526122 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

55 President St
Staten Island, NY 10314-4154
Phone (718) 370-3134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
RO17936NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902960834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 PRESIDENT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144154",
            "telephone_number": "718-370-3134",
            "fax_number": "718-982-7006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PRESIDENT ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144154",
            "telephone_number": "718-370-3134",
            "fax_number": "718-982-7006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARFINKLE",
        "first_name": "MARTIN",
        "middle_name": "I. (INITIAL ONLY)",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-22",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO17936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.