Active NPI
Anna Marika Podgorbunski I, M.A.
- Social Worker
- Bronx, NY
National Provider Identifier
1013292259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 1401 University Ave
Room 222
Bronx, NY 10452-4050 - Phone
- (718) 681-8700
- NPI assigned
- Oct 19, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Clinical Social Worker | 1041C0700X | 087256 | NY |
Addresses
Primary practice location
1401 University Ave
Room 222
Bronx, NY 10452-4050
Mailing address
1401 University Ave
Room 222
Bronx, NY 10452-4050
Phone (718) 681-8700
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 087256 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402963200000",
"number": "1013292259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 UNIVERSITY AVE",
"address_2": "ROOM 222",
"city": "BRONX",
"state": "NY",
"postal_code": "104524050",
"telephone_number": "718-681-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 UNIVERSITY AVE",
"address_2": "ROOM 222",
"city": "BRONX",
"state": "NY",
"postal_code": "104524050",
"telephone_number": "718-681-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODGORBUNSKI",
"first_name": "ANNA",
"middle_name": "MARIKA",
"name_prefix": "Ms.",
"name_suffix": "I",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-19",
"last_updated": "2014-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "087256",
"primary": false
}
],
"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 Jun 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.