Individual provider Active NPI

Rob M Fierstein, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1922319920
Registry record updated Dec 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
059589 Issued in NY
Practice address
1133 Broadway
Suite 1127
New York, NY 10010-7903
Phone
(917) 685-4333
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2010

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 059589 NY Primary

Addresses

Primary practice location

1133 Broadway
Suite 1127
New York, NY 10010-7903

Mailing address

1133 Broadway
Suite 1127
New York, NY 10010-7903
Phone (917) 685-4333

Other identifiers 1

IdentifierTypeStateIssuer
1922319920OtherNYCHILD AND ADOLESCENT PSYCHOANALYTIC PSYCHOTHERAPY

Other names 1

  • Rob Fierstein Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 10, 2018 through Jul 10, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291248000000",
    "number": "1922319920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY",
            "address_2": "SUITE 1127",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107903",
            "telephone_number": "917-685-4333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 BROADWAY",
            "address_2": "SUITE 1127",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100107903",
            "telephone_number": "917-685-4333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIERSTEIN",
        "first_name": "ROB",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2010-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "059589",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHILD AND ADOLESCENT PSYCHOANALYTIC PSYCHOTHERAPY",
            "identifier": "1922319920",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROB",
            "last_name": "FIERSTEIN",
            "credential": "LCSW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.