Individual provider Active NPI

Isora C Bosch, LCSW

  • Clinical Social Worker
  • Jackson Heights, NY
National Provider Identifier
1427294206
Registry record updated Dec 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
RO55451-1 Issued in NY
Practice address
3720 76TH St
Jackson Heights, NY 11372-6502
Phone
(718) 429-0045
Fax
(718) 429-0738
NPI assigned
Dec 27, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X RO55451-1 NY Primary

Addresses

Primary practice location

3720 76TH St
Jackson Heights, NY 11372-6502

Mailing address

7100 Boulevard East
Apt. 5P
Guttenberg, NJ 07093-4717
Phone (201) 868-5454

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
RO55451-1NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Field Ym&Ywha Past Accepting new patients
Institute for the Puerto Rican Hispanic Elderly Inc. Clinical Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1230336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1230336000000",
    "number": "1427294206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 BOULEVARD EAST",
            "address_2": "APT. 5P",
            "city": "GUTTENBERG",
            "state": "NJ",
            "postal_code": "070934717",
            "telephone_number": "201-868-5454"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3720 76TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113726502",
            "telephone_number": "718-429-0045",
            "fax_number": "718-429-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSCH",
        "first_name": "ISORA",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-27",
        "last_updated": "2008-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "RO55451-1",
            "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 Dec 27, 2008; 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.