Individual provider Active NPI

Victor Gunsalus, SOCIAL WORK INTERN

  • Social Worker
  • Jamaica, NY
National Provider Identifier
1669779823
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
9027 Sutphin Blvd
5TH
Jamaica, NY 11435-3647
Phone
(718) 526-9400
Fax
(718) 297-8658
NPI assigned
Feb 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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 Primary

Addresses

Primary practice location

9027 Sutphin Blvd
5TH
Jamaica, NY 11435-3647

Mailing address

9027 Sutphin Blvd
5TH
Jamaica, NY 11435-3647
Phone (718) 526-9400

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

Practice roles

OrganizationSpecialtyStatusNew patients
Transitional Services for New York, Inc PastSince Mar 21, 2002 Accepting new patients
Transitional Services for New York,Inc. Past Accepting new patients

Organizations & group practices 2

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": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298419200000",
    "number": "1669779823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9027 SUTPHIN BLVD",
            "address_2": "5TH",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353647",
            "telephone_number": "718-526-9400",
            "fax_number": "718-297-8658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9027 SUTPHIN BLVD",
            "address_2": "5TH",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114353647",
            "telephone_number": "718-526-9400",
            "fax_number": "718-297-8658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNSALUS",
        "first_name": "VICTOR",
        "credential": "SOCIAL WORK INTERN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-02-23",
        "last_updated": "2011-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.