Active NPI
Sky Koltun
- Social Worker
- Bronx, NY
National Provider Identifier
1447764386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 5676 Riverdale Ave
Bronx, NY 10471-2138 - Phone
- (718) 796-5300
- NPI assigned
- Nov 30, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
5676 Riverdale Ave
Bronx, NY 10471-2138
Mailing address
5056 Broadway Apt 35
New York, NY 10034-1134
Phone (917) 363-8140
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": "1512000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512000000000",
"number": "1447764386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5056 BROADWAY APT 35",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100341134",
"telephone_number": "917-363-8140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5676 RIVERDALE AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104712138",
"telephone_number": "718-796-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOLTUN",
"first_name": "SKY",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-30",
"last_updated": "2017-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Nov 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.