Individual provider Active NPI

Zhanna Bukshan

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1669945697
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
105493 Issued in NY
Practice address
1670 E 17TH St FL 3
Brooklyn, NY 11229-1281
Phone
(718) 233-2533
NPI assigned
Jan 2, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
105493NYMDSocial Worker

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 105493 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

1670 E 17TH St FL 3
Brooklyn, NY 11229-1281

Mailing address

1670 E 17TH St FL 3
Brooklyn, NY 11229-1281

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2024.

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1669945697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1670 E 17TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1670 E 17TH ST FL 3",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112291281",
            "telephone_number": "718-233-2533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUKSHAN",
        "first_name": "ZHANNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-02",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "105493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.