Active NPI
Susan John
- Rehabilitation Counselor
- Bronx, NY
National Provider Identifier
1275187783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- License
- 00108375
- Practice address
- 1064 Franklin Ave
Bronx, NY 10456-6704 - Phone
- (718) 764-1542
- NPI assigned
- Aug 1, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | 00108375 | NY | Primary |
Addresses
Primary practice location
1064 Franklin Ave
Bronx, NY 10456-6704
Mailing address
1064 Franklin Ave
Bronx, NY 10456-6704
Phone (718) 764-1542
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sjohn@basicsinc.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 00108375 | NY | MD | Rehabilitation Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564617600000",
"number": "1275187783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1064 FRANKLIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566704",
"telephone_number": "718-764-1542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1064 FRANKLIN AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104566704",
"telephone_number": "718-764-1542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "SUSAN",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-01",
"last_updated": "2019-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "",
"desc": "Rehabilitation Counselor",
"state": "NY",
"license": "00108375",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sjohn@basicsinc.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1064 Franklin Ave",
"city": "Bronx",
"state": "NY",
"country_code": "US",
"postal_code": "104566704",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 1, 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.