NPI |
1033298054 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
Provider Organization Name Legal Business Name |
HARRIET E. PERLMUTTER, LCSW PC |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
Provider First Line Business Practice Location Address |
21 S VILLAGE AVE |
The first line location address of the provider
being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box. |
Provider Business Practice Location Address City Name |
ROCKVILLE CENTRE |
The city name in the location address of the provider being identified. |
Provider Business Practice Location Address State Name |
NY |
The State code in the location of the provider
being identified. |
Provider Business Practice Location Address Postal Code |
115705222 |
The last name of the provider. If the provider is an individual, this is the legal name. |
Provider Business Practice Location Address Country Code If outside U S |
US |
The country code in the location address of the provider being identified. |
Provider Business Practice Location Address Telephone Number |
5165941297 |
The telephone number associated with the location address of the provider being identified. |
Provider Business Practice Location Address Fax Number |
5165941297 |
The State code in the location of the provider
being identified. |
Provider Enumeration Date |
11/2/2006 |
The date the provider was assigned a unique identifier (assigned an NPI). |
Last Update Date |
8/22/2020 |
The date that a record was last updated or changed. |
Authorized Official Last Name |
PERLMUTTER |
The date that a record was last updated or changed. |
Authorized Official First Name |
HARRIET |
The code designating the provider’s gender if the provider is a person. |
Authorized Official Middle Name |
E. |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
Authorized Official Title or Position |
LCSW |
The license number issued to the provider being identified. The NPS can accommodate
multiple license numbers for multiple specialties and for multiple States. The NPS will associate this data element with ‘‘provider taxonomy code’’. |
Authorized Official Telephone Number |
5165941297 |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Taxonomy Code 1 |
1041C0700X |
|
Provider License Number 1 |
PRO14576 |
Code indicating whether the provider is operating as a sole proprietor. Codes are: Y = Yes; N = No |
Provider License Number State Code 1 |
NY |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |
Healthcare Provider Primary Taxonomy Switch 1 |
Y |
|
Is Organization Subpart |
N |
|
Authorized Official Name Prefix Text |
MRS. |
|
Authorized Official Credential Text |
MSW |
|
Healthcare Provider Taxonomy Group 1 |
193400000X SINGLE SPECIALTY GROUP |
|