Individual provider Active NPI

Madelyn N Lopez Bueno I

  • Social Worker
  • Jackson Heights, NY
National Provider Identifier
1356276406
Registry record updated Jul 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
131570-01 Issued in NY
Practice address
3708 91St St Ste 3a
Jackson Heights, NY 11372-7962
Phone
(718) 706-1663
NPI assigned
Jun 17, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2026

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 131570-01 NY Primary

Addresses

Primary practice location

3708 91St St Ste 3a
Jackson Heights, NY 11372-7962

Mailing address

2196 Matthews Ave Apt 4C
Bronx, NY 10462-2017
Phone (917) 322-9489

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

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1356276406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2196 MATTHEWS AVE APT 4C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104622017",
            "telephone_number": "917-322-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 91ST ST STE 3A",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727962",
            "telephone_number": "718-706-1663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ BUENO",
        "first_name": "MADELYN",
        "middle_name": "N",
        "name_suffix": "I",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "131570-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.