Individual provider Active NPI

Matthew Stephen Rofofsky, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1992730162
Registry record updated Jan 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R057350-1 Issued in NY
Practice address
280 Madison Ave
Suite 1110
New York, NY 10016-0801
Phone
(201) 787-6477
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2017

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 R057350-1 NY Primary

Addresses

Primary practice location

280 Madison Ave
Suite 1110
New York, NY 10016-0801

Mailing address

2200 N Central Rd
Apt. 12E
Fort Lee, NJ 07024-7557
Phone (201) 787-6477

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R057350-1NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485820800000",
    "number": "1992730162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N CENTRAL RD",
            "address_2": "APT. 12E",
            "city": "FORT LEE",
            "state": "NJ",
            "postal_code": "070247557",
            "telephone_number": "201-787-6477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 MADISON AVE",
            "address_2": "SUITE 1110",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100160801",
            "telephone_number": "201-787-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROFOFSKY",
        "first_name": "MATTHEW",
        "middle_name": "STEPHEN",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2017-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R057350-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.