Active NPI
Abigail Stultz
- Social Worker
- Jamaica, NY
National Provider Identifier
1053982447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111602
- Practice address
- 16719 144TH Dr
Jamaica, NY 11434-4801 - Phone
- (347) 495-7069
- NPI assigned
- Jul 7, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111602 | Primary |
Addresses
Primary practice location
16719 144TH Dr
Jamaica, NY 11434-4801
Mailing address
16719 144TH Dr
Jamaica, NY 11434-4801
Phone (347) 495-7069
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625616000000",
"number": "1053982447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16719 144TH DR",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344801",
"telephone_number": "347-495-7069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16719 144TH DR",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114344801",
"telephone_number": "347-495-7069"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STULTZ",
"first_name": "ABIGAIL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-07-07",
"last_updated": "2021-07-07",
"certification_date": "2021-07-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": "111602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.