Blanca-Rosa Gayoso

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

015276 Issued in NY

Practice address

651 Academy St
New York, NY 10034-5003

Phone

(212) 942-0043

NPI assigned

Mar 19, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460419200000",
    "number": "1053435792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1841-CENTRAL PARK AVE",
            "address_2": "APT-3-D",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107100000",
            "telephone_number": "212-942-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ACADEMY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345003",
            "telephone_number": "212-942-0043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAYOSO",
        "first_name": "BLANCA-ROSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-19",
        "last_updated": "2016-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "015276",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AGENCY",
            "identifier": "1285628552",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Gayle, LCSW
• Tiesha Tiffany Gayle
• Maxine C. Gaylord, L.C.S.W, BCD
• Vivien Gaynes, M.S.
• Adam Gaynor
• Matthew Gayton, A.G.P.C.N.P.
• Jessica R Gayvoronskiy
• Victor Michael Coscolluela Gaza, PT, DPT
• Michael Richard Gazaleh, D.C.
• Rita Mae Gazarik, LCSWR

• All providers in New York, NY
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.