Active NPI
Lissette Vasquez-Restituyo
- Clinical Social Worker
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 088753
- Practice address
- 234 Eugenio Maria de Hostos Blvd (E 149TH St)
1C2A
Bronx, NY 10451 - Phone
- (718) 579-5000
- NPI assigned
- Jan 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 088753 | NY | Primary |
| Social Worker | 104100000X | 0942231 | NY |
Addresses
Primary practice location
234 Eugenio Maria de Hostos Blvd (E 149TH St)
1C2A
Bronx, NY 10451
Mailing address
4419 3Rd Ave
Bronx, NY 10457-2562
Phone (347) 515-4799
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0942231 | NY | MD | Social Worker |
| 088753 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Urban Health Plan, Inc. | Current | Accepting new patients | |
| Urban Health Plan, Inc. | Current | Accepting new patients |
Locations
1515 Southern Blvd
#H
Bronx, NY 10460
Phone (718) 589-1600
1065 Southern Blvd
Bronx, NY 10459
Phone 71858924404222
4419 3rd Ave
Bronx, NY 10457
Phone (718) 364-7700
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1265596548
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1386247542
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1579046400000",
"number": "1285091371",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4419 3RD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104572562",
"telephone_number": "347-515-4799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "234 EUGENIO MARIA DE HOSTOS BLVD (E 149TH ST)",
"address_2": "1C2A",
"city": "BRONX",
"state": "NY",
"postal_code": "10451",
"telephone_number": "718-579-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VASQUEZ-RESTITUYO",
"first_name": "LISSETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-21",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "088753",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "0942231",
"primary": false
}
],
"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 Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.