Active NPI
Geoffrey S Edelstein, LCSW
- Clinical Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088349
- Practice address
- 109 W 27TH St Ste 5S
New York, NY 10001-6208 - Phone
- (917) 634-5311
- NPI assigned
- Jul 23, 2020
- Last updated
- Oct 5, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC06173900 | NJ | |
| Clinical Social Worker | 1041C0700X | 088349 | NY | Primary |
Addresses
Primary practice location
109 W 27TH St Ste 5S
New York, NY 10001-6208
Mailing address
109 W 27TH St Ste 5S
New York, NY 10001-6208
Phone (917) 634-5311
Other practice location 1
525 Route 73 N Ste 117
Marlton, NJ 08053-3422
Phone (833) 351-8255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
109 W 27TH St
5S
New York, NY 10001-6208
Phone (833) 351-8255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC06173900 | NJ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCCD New Jersey Psychiatry Services LLC | Current | Accepting new patients | |
| MCCD FL Psychiatry Services PA | Current | Accepting new patients |
Locations
777 W Putnam Ave
Ste 300
Greenwich, CT 06830
Phone (203) 649-8200
525 Route 73 N
Ste 117
Marlton, NJ 08053
Phone (609) 200-0444
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Talkiatry
- Psychiatry Physician
- Jacksonville, FL
- NPI 1659003457
CT
-
dba Talkiatry
- Psychiatry Physician
- Hampton, NJ
- NPI 1023729530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696464000000",
"number": "1922617190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 W 27TH ST STE 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 W 27TH ST STE 5S",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100016208",
"telephone_number": "917-634-5311"
}
],
"practiceLocations": [
{
"address_1": "525 Route 73 N Ste 117",
"address_purpose": "LOCATION",
"city": "Marlton",
"state": "NJ",
"postal_code": "080533422",
"country_code": "US",
"telephone_number": "833-351-8255",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EDELSTEIN",
"first_name": "GEOFFREY",
"middle_name": "S",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-07-23",
"last_updated": "2023-10-05",
"certification_date": "2023-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06173900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088349",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.