Individual provider Active NPI

Roberto R Sanchez

  • Social Worker
  • Bronx, NY
National Provider Identifier
1003475658
Registry record updated Apr 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
122967-01 Issued in NY
Practice address
1490 Southern Blvd FRNT
Bronx, NY 10460-6262
Phone
(929) 399-1313
NPI assigned
Jun 7, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X
Social Worker 104100000X 122967-01 NY Primary

Addresses

Primary practice location

1490 Southern Blvd FRNT
Bronx, NY 10460-6262

Mailing address

247 W 37TH St
New York, NY 10018-5706
Phone (212) 273-5200

Other practice location 1

4123 3rd Ave
Bronx, NY 10457-6222
Phone (718) 299-3045

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

LicenseStateTypeSpecialty
122967-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Association for Services for the Aged CurrentSince Oct 31, 2023 Accepting new patients
Jewish Association for Services for the Aged CurrentSince May 25, 2025 Accepting new patients

Locations

401 Saint Anns Ave
Bronx, NY 10454

247 W 37th St
New York, NY 10018
Phone (212) 278-5200

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": "1559865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713312000000",
    "number": "1003475658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 W 37TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100185706",
            "telephone_number": "212-273-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1490 SOUTHERN BLVD FRNT",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104606262",
            "telephone_number": "929-399-1313"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4123 3rd Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104576222",
            "country_code": "US",
            "telephone_number": "718-299-3045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "ROBERTO",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-07",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "122967-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.