Individual provider Active NPI

Alba Reyes

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1336677525
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093187 Issued in NY
Practice address
5030 Broadway Ste 201
New York, NY 10034-1615
Phone
(212) 795-9888
Fax
(212) 795-9899
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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 093187 NY Primary

Addresses

Primary practice location

5030 Broadway Ste 201
New York, NY 10034-1615

Mailing address

5030 Broadway Ste 201
New York, NY 10034-1615
Phone (212) 795-9888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, MO, NJ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20220815001262 NY Practitioner - Clinical Social Worker 6507249182 Reassigns benefits to 4 organizations
I20251124002352 MO Practitioner - Clinical Social Worker 6507249182 Reassigns benefits to 1 organization
I20251204000300 NJ Practitioner - Clinical Social Worker 6507249182 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
Wagner Medical PCGroup PAC ID 3476082660, 13 clinicians

Practice addresses (Care Compare)

1400 Hooper Ave
Suite 2
Toms River, NJ 08753-2981
Phone (866) 630-0966

73 Spruce St
Massena, NY 13662-1305
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Wagner Medical PC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Talkspace Medical Services Ny PC CurrentSince Nov 4, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Aug 1, 2025 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Sep 15, 2025 Accepting new patients
Jewish Board of Family and Children's Services, Inc. Clinical CurrentSince May 4, 2022 Accepting new patients
Jewish Board of Family & Childrens Services Inc CurrentSince May 4, 2022 Accepting new patients

Locations

107 W 9th St
Fl 2
Kansas City, MO 64105
Phone (505) 382-2776

4625 Lindell Blvd
Ste 200300
Saint Louis, MO 63108
Phone (314) 396-7900

1400 Hooper Ave
Ste 2
Toms River, NJ 08753
Phone (732) 339-3398

1273 53rd St
Brooklyn, NY 11219
Phone (718) 435-5700

100 Church St
Fl 8
New York, NY 10007
Phone (646) 357-3609

5030 Broadway
Ste 201
New York, NY 10034
Phone (212) 632-4749

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

6975 S Union Park Ctr
Ste 600
Midvale, UT 84047
Phone (385) 255-7859

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1336677525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341615",
            "telephone_number": "212-795-9888",
            "fax_number": "212-795-9899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5030 BROADWAY STE 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100341615",
            "telephone_number": "212-795-9888",
            "fax_number": "212-795-9899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "ALBA",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.