Individual provider Active NPI

Margarita Guergue

  • Clinical Social Worker
  • New York, NY
National Provider Identifier
1659662286
Registry record updated Oct 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
078714 Issued in NY
Practice address
630 Ft Washington Ave
5C
New York, NY 10040-3900
Phone
(917) 301-1892
NPI assigned
May 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 10, 2015

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 078714 NY Primary

Addresses

Primary practice location

630 Ft Washington Ave
5C
New York, NY 10040-3900

Mailing address

630 Ft Washington Ave
5C
New York, NY 10040-3900
Phone (917) 301-1892

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
I20140331001521 NY Practitioner - Clinical Social Worker 3971734286 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1090 Saint Nicholas Ave
New York, NY 10032-3809

160 W 86 St
New York, NY 10024-4018

225 W 35TH St
Suite 7
New York, NY 10001-1904
Phone (917) 301-1892

336 Central Park W
New York, NY 10025-7107
Phone (212) 864-3666

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1304208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444435200000",
    "number": "1659662286",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 FT WASHINGTON AVE",
            "address_2": "5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403900",
            "telephone_number": "917-301-1892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 FT WASHINGTON AVE",
            "address_2": "5C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403900",
            "telephone_number": "917-301-1892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERGUE",
        "first_name": "MARGARITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-01",
        "last_updated": "2015-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "078714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.