Individual provider Active NPI

Mary Taveras-Garcia

  • Social Worker
  • New York, NY
National Provider Identifier
1588788640
Registry record updated Feb 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
068699 Issued in NY
Practice address
651 Academy St
New York, NY 10034-5003
Phone
(212) 942-0043
NPI assigned
Mar 16, 2007
Last updated
Feb 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2023

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 068699 NY Primary

Addresses

Primary practice location

651 Academy St
New York, NY 10034-5003

Mailing address

140 W 52ND St
Bayonne, NJ 07002-3120
Phone (212) 942-0043

Other practice location 1

2960 Grand Concourse Apt L2
Bronx, NY 10458-1910
Phone (201) 724-5489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161221001590 NY Practitioner - Clinical Social Worker 2163732025 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inwood Community Services, IncGroup PAC ID 1850608100, 6 clinicians

Practice addresses (Care Compare)

651 Academy St
New York, NY 10034-5003
Phone 2129420043133

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
068699NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inwood Community Services, Inc. CurrentSince Nov 5, 2016 Accepting new patients
Cecilia M Branas LCSW PLLC CurrentSince Jun 7, 2021 Accepting new patients

Locations

2960 Grand Concourse
Apt L2
Bronx, NY 10458
Phone (201) 724-5489

651 Academy St
New York, NY 10034
Phone (212) 569-2035

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677456000000",
    "number": "1588788640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 W 52ND ST",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070023120",
            "telephone_number": "212-942-0043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "651 ACADEMY ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100345003",
            "telephone_number": "212-942-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2960 Grand Concourse Apt L2",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104581910",
            "country_code": "US",
            "telephone_number": "201-724-5489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAVERAS-GARCIA",
        "first_name": "MARY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2023-02-27",
        "certification_date": "2023-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "068699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.