Individual provider Active NPI

Marlin Dayana Rubio, MASTER SOCIAL WORKER

  • Social Worker
  • Hewlett, NY
National Provider Identifier
1336897073
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P109770 Issued in NY
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

Updated by the provider on Mar 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
P109770NYMDSocial 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.

Verify at the official NPI Registry.