Individual provider Active NPI

Philip F. Tamburino, LCSW-R

  • Clinical Social Worker
  • Floral Park, NY
National Provider Identifier
1932315322
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R032473-1 Issued in NY
Practice address
99 Tulip Ave
Suite 402
Floral Park, NY 11001-1959
Phone
(516) 488-7340
NPI assigned
May 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X R032473-1 NY
Mental Health Counselor 101YM0800X R032473-1 NY
Clinical Social Worker 1041C0700X R032473-1 NY Primary
Marriage & Family Therapist 106H00000X R032473-1 NY

Addresses

Primary practice location

99 Tulip Ave
Suite 402
Floral Park, NY 11001-1959

Mailing address

99 Tulip Ave
Suite 402
Floral Park, NY 11001-1959
Phone (516) 488-7340

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
I20121130000019 NY Practitioner - Clinical Social Worker 5991957797 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Seth Benkel MD PLLCGroup PAC ID 8325331317, 14 clinicians

Practice addresses (Care Compare)

11502 Ocean Promenade
Rockaway Park, NY 11694-2412
Phone (718) 634-3400

50 W Hawthorne Ave
FL 2
Valley Stream, NY 11580-6220
Phone (718) 471-0200

712 Beach 20TH St
Far Rockaway, NY 11691-3502
Phone (718) 471-0200

799 E Gun Hill Rd
Bronx, NY 10467-6107
Phone (718) 881-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R032473-1NYMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc CurrentSince Oct 19, 2019 Accepting new patients
Seth Benkel, MD, PLLC CurrentSince Apr 17, 2024 Accepting new patients
New York Psychotherapy and Counseling Center CurrentSince Jul 20, 2019 Accepting new patients
Coordinated Behavioral Care Ipa Inc Past Accepting new patients

Locations

2857 Linden Blvd
Brooklyn, NY 11208
Phone (718) 235-3100

712 Beach 20th St
Far Rockaway, NY 11691
Phone (718) 327-0466

17620 148th Ave
Jamaica, NY 11434
Phone (718) 553-1100

10819 Rockaway Blvd
South Ozone Park, NY 11420
Phone (718) 327-7202

50 W Hawthorne Ave
Fl 2
Valley Stream, NY 11580
Phone (718) 471-0200

Networks

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

Organizations & group practices 4

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": "1179187200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1932315322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 402",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011959",
            "telephone_number": "516-488-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 TULIP AVE",
            "address_2": "SUITE 402",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "110011959",
            "telephone_number": "516-488-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMBURINO",
        "first_name": "PHILIP",
        "middle_name": "F.",
        "name_prefix": "Mr.",
        "credential": "LCSW-R",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-15",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "R032473-1",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R032473-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R032473-1",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NY",
            "license": "R032473-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Floral Park, NY

Sources for this page

Verify at the official NPI Registry.