Active NPI
Ruben D Zorrilla, LMSW
- Social Worker
- Corona, NY
National Provider Identifier
1033723598
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 094279
- Practice address
- 9609 40TH Rd
Corona, NY 11368-2138 - Phone
- (929) 522-0631
- NPI assigned
- Sep 2, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094279 | NY | Primary |
Addresses
Primary practice location
9609 40TH Rd
Corona, NY 11368-2138
Mailing address
658 Linden Ave
Teaneck, NJ 07666-2335
Phone (718) 954-1702
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
| License | State | Type | Specialty |
|---|---|---|---|
| 094279 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| 1 Integral Mental Health Counseling Practice PLLC | Current | Accepting new patients | |
| Integral Mental Help Group, Inc | Social Worker | Past | Accepting new patients |
Locations
9609 40th Rd
Flushing, NY 11368
Phone (929) 522-0631
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Corona, NY
- NPI 1831665538
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599004800000",
"number": "1033723598",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "658 LINDEN AVE",
"city": "TEANECK",
"state": "NJ",
"postal_code": "076662335",
"telephone_number": "718-954-1702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9609 40TH RD",
"city": "CORONA",
"state": "NY",
"postal_code": "113682138",
"telephone_number": "929-522-0631"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZORRILLA",
"first_name": "RUBEN",
"middle_name": "D",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-09-02",
"last_updated": "2020-09-02",
"certification_date": "2020-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094279",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.