Active NPI
Marlin Dayana Rubio, MASTER SOCIAL WORKER
- Social Worker
- Hewlett, NY
National Provider Identifier
1336897073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P109770
- Practice address
- 1188 Broadway Apt 4
Hewlett, NY 11557-2317 - Phone
- (516) 244-4140
- NPI assigned
- Mar 11, 2022
- 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 | P109770 | NY | Primary |
Addresses
Primary practice location
1188 Broadway Apt 4
Hewlett, NY 11557-2317
Mailing address
1188 Broadway Apt 4
Hewlett, NY 11557-2317
Phone (516) 244-4140
Other names 1
- Marlin Dayana Avila-Leon
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 |
|---|---|---|---|
| P109770 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646956800000",
"number": "1336897073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1188 BROADWAY APT 4",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572317",
"telephone_number": "516-244-4140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1188 BROADWAY APT 4",
"city": "HEWLETT",
"state": "NY",
"postal_code": "115572317",
"telephone_number": "516-244-4140"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUBIO",
"first_name": "MARLIN",
"middle_name": "DAYANA",
"name_prefix": "Mrs.",
"credential": "MASTER SOCIAL WORKER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-11",
"last_updated": "2022-03-11",
"certification_date": "2022-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P109770",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MARLIN",
"last_name": "AVILA-LEON",
"middle_name": "DAYANA",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hewlett, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.