Individual provider Active NPI

Matthew Martin Aboulafia, MSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1952429490
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R031316 Issued in NY
Practice address
51 E 42ND St RM 1407
New York, NY 10017-5404
Phone
(212) 682-3382
Fax
(212) 682-3382
NPI assigned
Mar 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
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 R031316 NY Primary

Addresses

Primary practice location

51 E 42ND St RM 1407
New York, NY 10017-5404

Mailing address

51 E 42ND St RM 1407
New York, NY 10017-5404
Phone (212) 682-3382

Other identifiers 1

IdentifierTypeStateIssuer
01504301MedicaidNY

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
I20050728001252 NY Practitioner - Clinical Social Worker 0648208827 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1983
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2 W 12TH St
Suite 1103
New York, NY 10036-4250
Phone (212) 682-3382

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R031316NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952429490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST RM 1407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-682-3382",
            "fax_number": "212-682-3382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 E 42ND ST RM 1407",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100175404",
            "telephone_number": "212-682-3382",
            "fax_number": "212-682-3382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABOULAFIA",
        "first_name": "MATTHEW",
        "middle_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R031316",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01504301",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.