Individual provider Active NPI

Ruby Cheresnowsky, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1235947391
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
125297-01 Issued in NY
Practice address
500 Bergen Ave
Bronx, NY 10455-4048
Phone
(212) 437-3500
NPI assigned
Dec 20, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 125297-01 NY Primary

Addresses

Primary practice location

500 Bergen Ave
Bronx, NY 10455-4048

Mailing address

81 Metropolitan Oval Apt 10B
Bronx, NY 10462-6419
Phone (978) 335-7389

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
125297-01NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rising Ground. Inc PastSince Dec 22, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1734652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1235947391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81 METROPOLITAN OVAL APT 10B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626419",
            "telephone_number": "978-335-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 BERGEN AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554048",
            "telephone_number": "212-437-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERESNOWSKY",
        "first_name": "RUBY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-20",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "125297-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; 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.