Active NPI
Lisandry Segura
- Social Worker
- Bronx, NY
National Provider Identifier
1407279102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 091245
- Practice address
- 2510 Westchester Ave
Suite 202
Bronx, NY 10461-3585 - Phone
- (718) 824-2792
- NPI assigned
- Jan 31, 2014
- 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 | 091245 | NY | Primary |
Addresses
Primary practice location
2510 Westchester Ave
Suite 202
Bronx, NY 10461-3585
Mailing address
455 Revere Ave
Bronx, NY 10465-2923
Phone (646) 548-7708
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 |
|---|---|---|---|
| 091245 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391126400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391126400000",
"number": "1407279102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "455 REVERE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652923",
"telephone_number": "646-548-7708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 WESTCHESTER AVE",
"address_2": "SUITE 202",
"city": "BRONX",
"state": "NY",
"postal_code": "104613585",
"telephone_number": "718-824-2792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEGURA",
"first_name": "LISANDRY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-01-31",
"last_updated": "2014-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "091245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.