Individual provider Active NPI

Paul Matthew Engel, LCSW

  • Clinical Social Worker
  • Flushing, NY
National Provider Identifier
1902962061
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R027955 Issued in NY
Practice address
4343 Bowne St
Flushing, NY 11355-3039
Phone
(718) 461-6393
Fax
(718) 463-8937
NPI assigned
Dec 30, 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 R027955 NY Primary

Addresses

Primary practice location

4343 Bowne St
Flushing, NY 11355-3039

Mailing address

255 Robbyn LN
Oceanside, NY 11572-5959
Phone (646) 358-0504

Other identifiers 1

IdentifierTypeStateIssuer
01758992MedicaidNY

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
I20040726000871 NY Practitioner - Clinical Social Worker 5395725204 Reassigns benefits to 1 organization
Practice locations: Rockville Centre, NY; Oceanside, NY; North Baldwin, NY; Malverne, NY; Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
New York University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

4343 Bowne St
Flushing, NY 11355-3039
Phone (516) 547-4318

775 Brooklyn Ave
Suite 112
North Baldwin, NY 11510-2948
Phone (516) 547-4318

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R027955NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Jewish Community Council, Inc. Clinical CurrentSince Jun 18, 2018 Accepting new patients
Neil Henry, LCSW, PC Clinical PastSince Jul 27, 2018 Accepting new patients
Northeast Counseling Center Past Accepting new patients

Locations

4343 Bowne St
Flushing, NY 11355
Phone (718) 461-6393

4569 162nd St
Flushing, NY 11358
Phone (347) 229-3577

17139 Northern Blvd
Flushing, NY 11358
Phone (516) 547-4318

364 Long Beach Rd
Island Park, NY 11558
Phone (516) 547-4318

12 Nottingham Rd
Malverne, NY 11565
Phone (516) 547-4318

2915 Davison St
Oceanside, NY 11572
Phone (516) 547-4318

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1902962061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 ROBBYN LN",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115725959",
            "telephone_number": "646-358-0504",
            "fax_number": "718-463-8937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 BOWNE ST",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553039",
            "telephone_number": "718-461-6393",
            "fax_number": "718-463-8937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENGEL",
        "first_name": "PAUL",
        "middle_name": "MATTHEW",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R027955",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01758992",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.