JAY MONTALBANO PULITANO (LCSW) – Clinical Social Worker, NPI 1053905810

JAY MONTALBANO PULITANO (LCSW) is a healthcare provider. based in New york, New York. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 111935 (NY). The NPI Number for JAY MONTALBANO PULITANO (LCSW) is 1053905810

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
JAY MONTALBANO PULITANO (LCSW)
NPI
1053905810
Phone
(212) 545-2400
Address
60 MADISON AVE FL 5
Enumeration Date
23 February 2021
Last Update Date
24 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2124260088
Graduation Year
2021 (5 years ago)
PAC ID
7113436437
Group Practice PAC ID
7416855143
Professional Enrollment ID
I20250529003465
Address ID
NY100263138NE81XXXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness85
Years active:5State licenses:2Digital endpointsOther names

7,091 CLINICAL SOCIAL WORKER in NY

Provider Addresses for JAY MONTALBANO PULITANO (LCSW)

  • 60 MADISON AVE FL 5

    NEW YORK, NY 100101600

    Phone: (212) 545-2400

    Type: Mailing

  • 350 Grand St Rm 240

    New York, NY 100024629

    Phone: (212) 634-7550

    Type: Location

  • 999 Blake Ave

    Brooklyn, NY 112083535

    Phone: (718) 277-8303

    Fax: (718) 277-4795

    Type: Location

  • 1167 Nostrand Ave

    Brooklyn, NY 112255417

    Phone: (718) 778-0198

    Fax: (718) 221-8169

    Type: Location

  • 2581 Atlantic Ave

    Brooklyn, NY 112072412

    Phone: (718) 495-6700

    Fax: (646) 988-2840

    Type: Location

  • 504 W 158th St Fl 5

    New York, NY 100327202

    Phone: (917) 521-3130

    Type: Location

  • 1880 Bathgate Ave

    Bronx, NY 104576259

    Phone: (718) 294-5891

    Fax: (718) 294-2468

    Type: Location

  • 94-98 Manhattan Avenue

    Brooklyn, NY 112062505

    Phone: (718) 388-0390

    Fax: (718) 486-5741

    Type: Location

  • 255 E Houston St

    New York, NY 100021013

    Phone: (212) 477-1120

    Fax: (212) 477-8957

    Type: Location

  • 81 W 115th St

    New York, NY 100263138

    Phone: (212) 426-0088

    Fax: (212) 426-8367

    Type: Location

  • 89-44 164th St

    Jamaica, NY 114326103

    Phone: (718) 523-2123

    Fax: (718) 523-5833

    Type: Location

  • 36-11 21st St

    Long Island City, NY 111064505

    Phone: (718) 482-7772

    Fax: (718) 482-9648

    Type: Location

  • 1002 Westchester Ave

    Bronx, NY 104593204

    Phone: (718) 320-4466

    Fax: (718) 991-3829

    Type: Location

  • 511 W 157TH ST

    NEW YORK, NY 100327601

    Phone: (718) 302-8132

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-05-29

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250529003465IClinical Social WorkerNYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 10010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7416855143View full group profile

Reviews

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Frequently asked questions

Does JAY MONTALBANO PULITANO (LCSW) have a public NPI I can cite?
Public records show JAY MONTALBANO PULITANO (LCSW) under NPI 1053905810.
Does the public listing show JAY MONTALBANO PULITANO (LCSW) as active?
JAY MONTALBANO PULITANO (LCSW)'s NPI record reflects an active status in NPPES.
What type of care does JAY MONTALBANO PULITANO (LCSW) provide?
JAY MONTALBANO PULITANO (LCSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to JAY MONTALBANO PULITANO (LCSW)?
JAY MONTALBANO PULITANO (LCSW) shows a connection to New York, New York in registry-derived data.
Can I export JAY MONTALBANO PULITANO (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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