Jessica Maria Bruno-Matlak, MWS

Primary specialty

Social WorkerTaxonomy code 104100000X

Practice address

585 Clawson St
Staten Island, NY 10306-4211

Phone

(347) 581-6995

NPI assigned

Oct 23, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1528601432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 CLAWSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064211",
            "telephone_number": "347-581-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 CLAWSON ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103064211",
            "telephone_number": "347-581-6995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100297406",
            "country_code": "US",
            "telephone_number": "212-306-7835",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRUNO-MATLAK",
        "first_name": "JESSICA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "MWS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-10-23",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Ann Bruij, STUDENT
• Seth U Brum, M.D.
• Shoshana Brum
• Joan Pasadino Brun0, NP
• Diana Marie Brunetti, RN
• Lisa Bruno-Silverman
• Carmine Michael Bruno, D.C.
• Christian Michael Bruno, PA
• Christina Bruno
• Gianna Carli Bruno, LMSW

• Social Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2020; 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.