Yasmine Bouguetaib

Primary specialty

Social WorkerTaxonomy code 104100000X

License

103956-1 Issued in NY

Practice address

1419 Shakespeare Ave
Bronx, NY 10452

Phone

(718) 732-7080

NPI assigned

Aug 27, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1440633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537228800000",
    "number": "1073980819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1419 SHAKESPEARE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104521851",
            "telephone_number": "718-732-7080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1419 SHAKESPEARE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10452",
            "telephone_number": "718-732-7080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 W 50th St Fl 6",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100201201",
            "country_code": "US",
            "telephone_number": "212-632-4666",
            "fax_number": "212-582-1296",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOUGUETAIB",
        "first_name": "YASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-27",
        "last_updated": "2018-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "103956-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph Botros, MD
• Lucas Richard Bottcher, DC
• Laura Boucai, M.D.
• Daniel Ismail Boudani, MD
• Myriam Bougatef, MD
• Boulevard Medical Healthcare
• Marina Boulos
• Toufic Boulos, D.M.D
• Jason Peter Boulware, D.O.
• Mako Boundjou

• Social Worker in Bronx, NY
• Providers in Bronx, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2018; 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.