Individual provider Active NPI

Cesar Thomas Bujosa, LCSW

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1649294349
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P059966 Issued in NY
Practice address
273 Bennett Ave
6H
New York, NY 10040-2488
Phone
(917) 734-3680
Fax
(212) 304-8352
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X P059966 NY Primary

Addresses

Primary practice location

273 Bennett Ave
6H
New York, NY 10040-2488

Mailing address

273 Bennett Ave Apt 6H
New York, NY 10040-2488
Phone (917) 734-3680

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
P059966NYMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1649294349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "273 BENNETT AVE APT 6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402488",
            "telephone_number": "917-734-3680",
            "fax_number": "212-304-8352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "273 BENNETT AVE",
            "address_2": "6H",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100402488",
            "telephone_number": "917-734-3680",
            "fax_number": "212-304-8352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUJOSA",
        "first_name": "CESAR",
        "middle_name": "THOMAS",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "P059966",
            "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 Jul 8, 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.

Verify at the official NPI Registry.