Leslie Chamorro

Primary specialty

Social WorkerTaxonomy code 104100000X

License

087891 Issued in NY

Practice address

4419 3Rd Ave
Suite 1a
Bronx, NY 10457-2562

Phone

(718) 364-7700

Fax

(718) 364-1513

NPI assigned

Aug 31, 2016

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comunilife, Inc.

  • Voluntary or Charitable Agency
  • Bronx, NY
  • NPI 1528082013
  NPD (past)

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

{
    "created_epoch": "1472601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472601600000",
    "number": "1174079024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4419 3RD AVENUE GUIDANCE CENTER",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10457",
            "telephone_number": "718-364-7700",
            "fax_number": "718-364-1513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 3RD AVE",
            "address_2": "SUITE 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104572562",
            "telephone_number": "718-364-7700",
            "fax_number": "718-364-1513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAMORRO",
        "first_name": "LESLIE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "087891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1528082013",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry-Ann Chambers
• Yola J Chambers, R.N.
• Roxanne Chamble
• Noah Chamblin, LPN
• Tagi Chambliss, RN
• Alexandra Champagne
• Castelia Champagne, M.S. ED
• Champions for New York, LLC
• Alice Chan, NP
• Benjamin Chan, PT

• 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 Aug 31, 2016; 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.