Individual provider Active NPI

Anet Ruperto

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1306005939
Registry record updated Jul 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072572 Issued in NY
Practice address
154 Avenue D Apt 5C
New York, NY 10009-4307
Phone
(646) 258-7013
NPI assigned
Jun 9, 2008
Last updated
Jul 24, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 072572 NY Primary

Addresses

Primary practice location

154 Avenue D Apt 5C
New York, NY 10009-4307

Mailing address

154 Avenue D Apt 5C
New York, NY 10009-4307

Other identifiers 1

IdentifierTypeStateIssuer
00072572MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080812000871 NY Practitioner - Clinical Social Worker 5991870859 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Service Program for Older People IncGroup PAC ID 2668373135, 15 clinicians

Practice addresses (Care Compare)

1484 1St Ave
New York, NY 10075-2304
Phone (212) 787-7120

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
072572NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Service Program for Older People, Inc CurrentSince Jul 23, 2007 Accepting new patients
Service Program for Older People Past Accepting new patients

Locations

1484 1st Ave
New York, NY 10075
Phone (212) 476-7000

302 W 91st St
New York, NY 10024
Phone 2127877120528

302 W 91st St
Apt 2
New York, NY 10024

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753315200000",
    "number": "1306005939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 AVENUE D APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 AVENUE D APT 5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100094307",
            "telephone_number": "646-258-7013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERTO",
        "first_name": "ANET",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2025-07-24",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072572",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00072572",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.