Jasmattie Sookram

Primary specialty

Social WorkerTaxonomy code 104100000X

License

076607 Issued in NY

Practice address

9324 210TH St
Queens Village, NY 11428-1054

Phone

(718) 431-5196

NPI assigned

Oct 28, 2019

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1572220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1093358517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9324 210TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281054",
            "telephone_number": "718-431-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9324 210TH ST",
            "city": "QUEENS VILLAGE",
            "state": "NY",
            "postal_code": "114281054",
            "telephone_number": "718-431-5196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOKRAM",
        "first_name": "JASMATTIE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-28",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "076607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER'S LICENSE",
            "identifier": "408185058",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jassookram@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "9324 210th St",
            "city": "Queens Village",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114281054",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Delores Smith
• Dorret Smith
• Heather E Smith, FNP-BC
• Eric Brian Snitofsky, D.M.D.
• Kapildev Sohan, COTA L
• Amandah Sarah Soriano, OTR
• Ralph Soto, LMSW
• Stephanie Soto
• Beatrice Souffrant, LPN
• Yeghia Sounboolian, MD,MS

• Social Worker in Queens Village, NY
• Providers in Queens Village, 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 Oct 28, 2019; 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.