Active NPI
Rosa Soto
- Social Worker
- Bay Shore, NY
National Provider Identifier
1326509175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 105285-1
- Practice address
- 1444 5TH Ave
Bay Shore, NY 11706-4147 - Phone
- (631) 647-3100
- NPI assigned
- Mar 26, 2019
- Last updated
- Mar 26, 2019
- 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 | 105285-1 | NY | Primary |
Addresses
Primary practice location
1444 5TH Ave
Bay Shore, NY 11706-4147
Mailing address
374 Starlight Dr
Shirley, NY 11967-1410
Phone (631) 599-2684
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 |
|---|---|---|---|
| 105285-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1553558400000",
"number": "1326509175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "374 STARLIGHT DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119671410",
"telephone_number": "631-599-2684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 5TH AVE",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117064147",
"telephone_number": "631-647-3100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "ROSA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-26",
"last_updated": "2019-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "105285-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bay Shore, NY
- Andrej Michael Sodoma, DO
- Soft Touch Chiropractic Rehabilitation, P.C.
- Hanan Soliman-Lee, PA
- Susana Solis
- Darius Sorbi, M.D.
- Gina Marie Sottile
- South Bay Anesthes Assoc., LLP
- South Shore Bay Shore Medical PC
- South Shore Counseling Services of Certified Social Workers, PLLC (South Shore Counseling Services)
- South Shore Faculty Medical Affiliates, University Faculty Practice Co
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.