Active NPI
Benjamin Kordieh
- Social Worker
- Wheatley Heights, NY
National Provider Identifier
1912747403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 29 Landscape Drive
Wheatley Heights, NY 11798-1403 - Phone
- (631) 671-7808
- NPI assigned
- May 31, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| School Social Worker | 1041S0200X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
29 Landscape Drive
Wheatley Heights, NY 11798-1403
Mailing address
29 Landscape Drive
Wheatley Heights, NY 11798-1403
Phone (631) 671-7808
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717113600000",
"number": "1912747403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 LANDSCAPE DRIVE",
"city": "WHEATLEY HEIGHTS",
"state": "NY",
"postal_code": "117981403",
"telephone_number": "631-671-7808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 LANDSCAPE DRIVE",
"city": "WHEATLEY HEIGHTS",
"state": "NY",
"postal_code": "117981403",
"telephone_number": "631-671-7808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORDIEH",
"first_name": "BENJAMIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-05-31",
"last_updated": "2024-05-31",
"certification_date": "2024-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheatley Heights, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.