Individual provider Active NPI

Eve Irvline Vaval

  • Social Worker
  • Staten Island, NY
National Provider Identifier
1396200622
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102746 Issued in NY
Practice address
100 Elizabeth St
Staten Island, NY 10310-2324
Phone
(646) 592-2680
NPI assigned
Jan 31, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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 102746 NY Primary

Addresses

Primary practice location

100 Elizabeth St
Staten Island, NY 10310-2324

Mailing address

100 Elizabeth St
Staten Island, NY 10310-2324
Phone (646) 592-2680

Other practice location 1

2205 Hylan Blvd
Staten Island, NY 10306-3319
Phone (718) 232-8600

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
102746NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1396200622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102324",
            "telephone_number": "646-592-2680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ELIZABETH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103102324",
            "telephone_number": "646-592-2680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2205 Hylan Blvd",
            "address_purpose": "LOCATION",
            "city": "Staten Island",
            "state": "NY",
            "postal_code": "103063319",
            "country_code": "US",
            "telephone_number": "718-232-8600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAVAL",
        "first_name": "EVE",
        "middle_name": "IRVLINE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-31",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.