Active NPI
Elizabeth NG
- Social Worker
- Rochester, NY
National Provider Identifier
1356041842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 11209201
- Practice address
- 3445 Winton PL Ste 114
Rochester, NY 14623-2950 - Phone
- (917) 310-3719
- NPI assigned
- Mar 3, 2023
- Sex
- Female
- Sole proprietor
- No
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 | 11209201 | NY | Primary |
Addresses
Primary practice location
3445 Winton PL Ste 114
Rochester, NY 14623-2950
Mailing address
421 8TH Ave Unit 192
New York, NY 10116-8909
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 |
|---|---|---|---|
| 11209201 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1677801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678060800000",
"number": "1356041842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 8TH AVE UNIT 192",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101168909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3445 WINTON PL STE 114",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146232950",
"telephone_number": "917-310-3719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NG",
"first_name": "ELIZABETH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-03-03",
"last_updated": "2023-03-06",
"certification_date": "2023-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "11209201",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.