Individual provider Active NPI

Bracha Y Kalter, LMSW

  • Social Worker
  • Rego Park, NY
National Provider Identifier
1033412101
Registry record updated Dec 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
081692-1 Issued in NY
Practice address
9745 Queens Blvd
Suite 900
Rego Park, NY 11374-2116
Phone
(718) 830-9274
Fax
(718) 966-4562
NPI assigned
Dec 13, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 081692-1 NY Primary

Addresses

Primary practice location

9745 Queens Blvd
Suite 900
Rego Park, NY 11374-2116

Mailing address

14733 76TH Ave Apt 1a
Flushing, NY 11367-3104
Phone (718) 725-8750

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
081692-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1033412101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14733 76TH AVE APT 1A",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113673104",
            "telephone_number": "718-725-8750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9745 QUEENS BLVD",
            "address_2": "SUITE 900",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113742116",
            "telephone_number": "718-830-9274",
            "fax_number": "718-966-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALTER",
        "first_name": "BRACHA",
        "middle_name": "Y",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "081692-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rego Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.