Active NPI
Antoinette Anita Phynn, LMSW
- Social Worker
- Bronx, NY
National Provider Identifier
1619177607
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 061679
- Practice address
- 111 E 210TH St
Bronx, NY 10467-2401 - Phone
- (718) 920-4741
- Fax
- (718) 920-5029
- NPI assigned
- Jul 19, 2007
- 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 | 061679 | NY | Primary |
Addresses
Primary practice location
111 E 210TH St
Bronx, NY 10467-2401
Mailing address
22 Loscerbo LN
Newburgh, NY 12550-1059
Phone (845) 784-4234
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
| License | State | Type | Specialty |
|---|---|---|---|
| 061679 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184803200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184803200000",
"number": "1619177607",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 LOSCERBO LN",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125501059",
"telephone_number": "845-784-4234"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 E 210TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104672401",
"telephone_number": "718-920-4741",
"fax_number": "718-920-5029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHYNN",
"first_name": "ANTOINETTE",
"middle_name": "ANITA",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-07-19",
"last_updated": "2007-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "061679",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
- Amanda Rose Phoenix, PHARM.D., BCACP, CDE
- David Phu
- Linette Amanda Phu, PHARM.D.
- Wipanee Phupakdi, M.D.
- Rajan Phuyal
- Physical Medicine and Rehabilitation of Ny
- Physical Therapy of the Bronx
- Physicians Medical Rehab Associates of Pelham PLLC
- Physicians of the Future Medgroup PLLC
- Physio Care Physical Therapy PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.