Individual provider Active NPI

Anju Hiromi Okamura

  • Social Worker
  • New York, NY
National Provider Identifier
1487330254
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
120025 Issued in NY
Practice address
112 Mulberry St Apt 13
New York, NY 10013-4652
Phone
(631) 896-7527
NPI assigned
Jun 26, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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 120025 NY Primary

Addresses

Primary practice location

112 Mulberry St Apt 13
New York, NY 10013-4652

Mailing address

112 Mulberry St Apt 13
New York, NY 10013-4652
Phone (631) 896-7527

Other practice location 1

808 Union St Ste 3A
Brooklyn, NY 11215-1386
Phone (347) 637-8043

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
120025NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1687737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1487330254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 MULBERRY ST APT 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134652",
            "telephone_number": "631-896-7527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 MULBERRY ST APT 13",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100134652",
            "telephone_number": "631-896-7527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "808 Union St Ste 3A",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112151386",
            "country_code": "US",
            "telephone_number": "347-637-8043",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OKAMURA",
        "first_name": "ANJU",
        "middle_name": "HIROMI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-26",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "120025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2024; 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.