Individual provider Active NPI

Basya Greenbaum, LMSW

  • Social Worker
  • Monsey, NY
National Provider Identifier
1962007245
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
111048 Issued in NY
Practice address
10 Milrose LN
Monsey, NY 10952-4911
Phone
(845) 826-4392
NPI assigned
Dec 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 111048 NY Primary

Addresses

Primary practice location

10 Milrose LN
Monsey, NY 10952-4911

Mailing address

10 Milrose LN
Monsey, NY 10952-4911
Phone (845) 826-4392

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
I20241023002787 NY Practitioner - Clinical Social Worker 4082147566 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
111048NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aizer Health , Inc. CurrentSince Sep 7, 2024 Accepting new patients
Aizer Health , Inc. CurrentSince Sep 7, 2024 Accepting new patients

Locations

48 Bakertown Rd
Monroe, NY 10950
Phone (845) 774-1464

49 Forest Rd
Monroe, NY 10950
Phone (845) 782-3242

Organizations & group practices 2

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": "1606953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606953600000",
    "number": "1962007245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MILROSE LN",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109524911",
            "telephone_number": "845-826-4392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MILROSE LN",
            "city": "MONSEY",
            "state": "NY",
            "postal_code": "109524911",
            "telephone_number": "845-826-4392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENBAUM",
        "first_name": "BASYA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-03",
        "last_updated": "2020-12-03",
        "certification_date": "2020-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "111048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monsey, NY

Sources for this page

Verify at the official NPI Registry.