Individual provider Active NPI

Jesse Quiles, LMSW

  • Social Worker
  • Bronx, NY
National Provider Identifier
1669140521
Registry record updated Sep 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
113534 Issued in NY
Practice address
3580 Netherland Ave
Bronx, NY 10463-1672
Phone
(646) 389-5801
NPI assigned
Sep 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2021

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 113534 NY Primary

Addresses

Primary practice location

3580 Netherland Ave
Bronx, NY 10463-1672

Mailing address

35 E 208TH St Apt 5G
Bronx, NY 10467-2755
Phone (631) 682-5221

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
I20250925004152 NY Practitioner - Clinical Social Worker 6406351881 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1420 Ferris Place
Suite 1
Bronx, NY 10461-3611

279 Main St
Suite 204
New Paltz, NY 12561-1623

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
113534NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health CurrentSince Sep 3, 2025 Accepting new patients
Nyc Therapy Group, Lcsws Psychotherapy Professionals PLLC CurrentSince Sep 5, 2021 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Sep 3, 2025 Accepting new patients

Locations

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

Organizations & group practices 4

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": "1630627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630627200000",
    "number": "1669140521",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 E 208TH ST APT 5G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672755",
            "telephone_number": "631-682-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3580 NETHERLAND AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631672",
            "telephone_number": "646-389-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUILES",
        "first_name": "JESSE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-03",
        "last_updated": "2021-09-03",
        "certification_date": "2021-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "113534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.