Active NPI
Jeffrey Kupferman, LCSW
- Clinical Social Worker
- Hewlett, NY
National Provider Identifier
1962553297
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- R019507-1
- Practice address
- 1234 W Broadway
Hewlett, NY 11557-1929 - Phone
- (516) 314-4634
- NPI assigned
- Jan 15, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R019507-1 | NY | Primary |
Addresses
Primary practice location
1234 W Broadway
Hewlett, NY 11557-1929
Mailing address
611 E Beech St
Long Beach, NY 11561-3703
Phone (516) 432-6909
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7401032 | Other | NY | GHI PROVIDER ID NUMBER |
| 080666 | Other | VALUEOPTIONS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R019507-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168819200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962553297",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 E BEECH ST",
"city": "LONG BEACH",
"state": "NY",
"postal_code": "115613703",
"telephone_number": "516-432-6909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 W BROADWAY",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115571929",
"telephone_number": "516-314-4634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUPFERMAN",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "R019507-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PROVIDER ID NUMBER",
"identifier": "7401032",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS PROVIDER ID",
"identifier": "080666",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.