Active NPI
Karla Gysvel Rivas
- Social Worker
- Flushing, NY
National Provider Identifier
1639744477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 122190
- Practice address
- 14015B Sanford Ave FL 2
Flushing, NY 11355-2557 - Phone
- (347) 701-0659
- NPI assigned
- May 24, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 122190 | NY | Primary |
Addresses
Primary practice location
14015B Sanford Ave FL 2
Flushing, NY 11355-2557
Mailing address
14015B Sanford Ave FL 2
Flushing, NY 11355-2557
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 |
|---|---|---|---|
| 122190 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1639744477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14015B SANFORD AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015B SANFORD AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552557",
"telephone_number": "347-701-0659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "KARLA",
"middle_name": "GYSVEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-24",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "122190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.