Individual provider Active NPI

Maria Elisa Montes Fojas, LICENSED CLINICAL SW

  • Clinical Social Worker
  • Jamaica, NY
National Provider Identifier
1467578807
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
072116-1 Issued in NY
Practice address
8115 164TH St
Jamaica, NY 11432-1118
Phone
(718) 380-3000
Fax
(718) 380-9475
NPI assigned
Mar 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 072116-1 NY Primary

Addresses

Primary practice location

8115 164TH St
Jamaica, NY 11432-1118

Mailing address

7812 223Rd St
Oakland Gardens, NY 11364-3637
Phone (718) 464-5698

Other identifiers 1

IdentifierTypeStateIssuer
072116-1OtherNYLIC CLINICAL SOCIAL WORK

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
072116-1NYMDClinical Social Worker
025033NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Queens Centers for Progress Past Accepting new patients

Organizations & group practices 1

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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467578807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7812 223RD ST",
            "city": "OAKLAND GARDENS",
            "state": "NY",
            "postal_code": "113643637",
            "telephone_number": "718-464-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321118",
            "telephone_number": "718-380-3000",
            "fax_number": "718-380-9475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOJAS",
        "first_name": "MARIA ELISA",
        "middle_name": "MONTES",
        "name_prefix": "Ms.",
        "credential": "LICENSED CLINICAL SW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "072116-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC CLINICAL SOCIAL WORK",
            "identifier": "072116-1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.