Individual provider Active NPI

Irina Roytenberg, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1063679199
Registry record updated May 16, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
071157-1 Issued in NY
Practice address
125 Schroeders Ave Apt 14E
Brooklyn, NY 11239-2219
Phone
(917) 971-7844
Fax
(718) 642-2870
NPI assigned
May 16, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 071157-1 NY Primary
Social Worker 104100000X

Addresses

Primary practice location

125 Schroeders Ave Apt 14E
Brooklyn, NY 11239-2219

Mailing address

125 Schroeders Ave Apt 14E
Brooklyn, NY 11239-2219
Phone (917) 971-7844

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
071157-1NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1210896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210896000000",
    "number": "1063679199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 SCHROEDERS AVE APT 14E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392219",
            "telephone_number": "917-971-7844",
            "fax_number": "718-642-2870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SCHROEDERS AVE APT 14E",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112392219",
            "telephone_number": "917-971-7844",
            "fax_number": "718-642-2870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROYTENBERG",
        "first_name": "IRINA",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-16",
        "last_updated": "2008-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "071157-1",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2008; 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.