Active NPI
Jennifer Zhao
- Social Worker
- Flushing, NY
National Provider Identifier
1316761802
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 121998-01
- Practice address
- 13626 37TH Ave
Flushing, NY 11354-6533 - Phone
- (718) 866-7373
- Fax
- (718) 661-6035
- NPI assigned
- Nov 11, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 121998-01 | NY | Primary |
Addresses
Primary practice location
13626 37TH Ave
Flushing, NY 11354-6533
Mailing address
125 Walker St
New York, NY 10013-4135
Phone (212) 226-8866
Other practice location 1
13743 45th Ave
Flushing, NY 11355-4048
Phone (718) 886-7373
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241121003805 | NY | Order and Referring Only - Clinical Social Worker | 9537694930 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 121998-01 | NY | MD | Social Worker |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1316761802",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 WALKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100134135",
"telephone_number": "212-226-8866",
"fax_number": "212-226-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13626 37TH AVE",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113546533",
"telephone_number": "718-866-7373",
"fax_number": "718-661-6035"
}
],
"practiceLocations": [
{
"address_1": "13743 45th Ave",
"address_purpose": "LOCATION",
"city": "Flushing",
"state": "NY",
"postal_code": "113554048",
"country_code": "US",
"telephone_number": "718-886-7373",
"fax_number": "718-661-6035",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ZHAO",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-11",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "121998-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.