Active NPI
Angel Luis Bosques Jr., LMSW
- Social Worker
- Cliffside Park, NJ
National Provider Identifier
1053781211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 093963
- Practice address
- 464 Gorge Rd
Apt 7D
Cliffside Park, NJ 07010-2815 - Phone
- (646) 645-0073
- NPI assigned
- Sep 30, 2015
- 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 | 093963 | NY | Primary |
Addresses
Primary practice location
464 Gorge Rd
Apt 7D
Cliffside Park, NJ 07010-2815
Mailing address
464 Gorge Rd
Apt 7D
Cliffside Park, NJ 07010-2815
Phone (646) 645-0073
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 |
|---|---|---|---|
| 093963 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1053781211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "464 GORGE RD",
"address_2": "APT 7D",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102815",
"telephone_number": "646-645-0073"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "464 GORGE RD",
"address_2": "APT 7D",
"city": "CLIFFSIDE PARK",
"state": "NJ",
"postal_code": "070102815",
"telephone_number": "646-645-0073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOSQUES",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "093963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cliffside Park, NJ
- Bergen Chiropractic and Sports Rehabilitation Center, Inc.
- Bergen Enterprises Center LLC
- Bergen Spine and Sports Rehabilitation Center Inc.
- Best Rehabilitation Services LLC
- Borough of Cliffside Park
- Bridgeside Medical PC
- Bridgeview Physical Therapy LLC
- Heather Bryan
- Victoria Bulbin, O.D.
- Annette Buron, D.P.M.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.