Isamar Estefany Padilla Juarez, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

105810 Issued in NY

Practice address

7901 Broadway
Elmhurst, NY 11373-1329

Phone

(718) 334-4000

NPI assigned

Jan 17, 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

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.

• Mental Health Providers of Western Queens

  • Community/Behavioral Health Agency
  • Jackson Heights, NY
  • NPI 1104200294
  NPD (past)

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1265906754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4109 108TH ST APT 3A",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113682355",
            "telephone_number": "917-392-9508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3708 91st St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Jackson Heights",
            "state": "NY",
            "postal_code": "113727962",
            "country_code": "US",
            "telephone_number": "718-779-2263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PADILLA JUAREZ",
        "first_name": "ISAMAR",
        "middle_name": "ESTEFANY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-17",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Charles Paccione, M.D.
• Alexa Courtney Pace, LMSW
• Vicente Rabe Pacheco III, PT
• Andresito B Pacis, MD
• Karen Estaca Pacleb, RPT
• Koshi A Padnani, M.D.
• Walter Maniquis Pagsibigan
• Pedro Gabriel Paiva Bueno, MD
• Richielady Sumanqui Palma, RPT
• Kenan Jared Mediodia Palmares, NP

• Social Worker in Elmhurst, NY
• Providers in Elmhurst, 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 Apr 3, 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.