Individual provider Active NPI

Socorro Rutman

  • Social Worker
  • Mount Sinai, NY
National Provider Identifier
1700474152
Registry record updated Dec 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
070917 Issued in NY
Practice address
7 Oakland Hills Dr
Mount Sinai, NY 11766-3401
Phone
(917) 405-0756
NPI assigned
Dec 31, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2020

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 070917 NY Primary

Addresses

Primary practice location

7 Oakland Hills Dr
Mount Sinai, NY 11766-3401

Mailing address

7 Oakland Hills Dr
Mount Sinai, NY 11766-3401
Phone (917) 405-0756

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

State licenses

LicenseStateTypeSpecialty
070917NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1609372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609372800000",
    "number": "1700474152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 OAKLAND HILLS DR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663401",
            "telephone_number": "917-405-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 OAKLAND HILLS DR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117663401",
            "telephone_number": "917-405-0756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTMAN",
        "first_name": "SOCORRO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-31",
        "last_updated": "2020-12-31",
        "certification_date": "2020-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "070917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Sinai, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2020; 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.