Individual provider Active NPI

Joseph Mombrea

  • Social Worker
  • Niagara Falls, NY
National Provider Identifier
1295185361
Registry record updated Jun 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
072966 Issued in NY
Practice address
3900 Packard Rd
Niagara Falls, NY 14303-2236
Phone
(716) 285-8070
Fax
(716) 285-8250
NPI assigned
Jun 20, 2016
Last updated
Jun 20, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2016

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 072966 NY Primary

Addresses

Primary practice location

3900 Packard Rd
Niagara Falls, NY 14303-2236

Mailing address

3900 Packard Rd
Niagara Falls, NY 14303-2236
Phone (716) 285-8070

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
072966NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Forthe, Inc. Past Accepting new patients
Counseling Services of Upstate New York Inc. Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1466380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466380800000",
    "number": "1295185361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 PACKARD RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143032236",
            "telephone_number": "716-285-8070",
            "fax_number": "716-285-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 PACKARD RD",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143032236",
            "telephone_number": "716-285-8070",
            "fax_number": "716-285-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMBREA",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-20",
        "last_updated": "2016-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "072966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Niagara Falls, NY

Sources for this page

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