Active NPI
Nicole Rengifo
- Social Worker
- Brooklyn, NY
National Provider Identifier
1720726920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111322
- Practice address
- 420 95TH St, Brooklyn, Ny 11209
Brooklyn, NY 11209 - Phone
- (646) 881-2226
- NPI assigned
- May 26, 2022
- Last updated
- May 26, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 111322 | NY | Primary |
Addresses
Primary practice location
420 95TH St, Brooklyn, Ny 11209
Brooklyn, NY 11209
Mailing address
357 Avenue P
Apt D8
Brooklyn, NY 11204
Phone (646) 881-2226
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | securerecords.sanford.html | Health Information Exchange (HIE) | |
| CONNECT URL | securerecords.sanford.html | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 111322 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1720726920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "357 AVENUE P",
"address_2": "APT D8",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11204",
"telephone_number": "646-881-2226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "420 95TH ST, BROOKLYN, NY 11209",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11209",
"telephone_number": "646-881-2226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RENGIFO",
"first_name": "NICOLE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "111322",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "357 AVENUE P APT D8",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "11204",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "securerecords.sanford.html",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "420 95th St, Brooklyn, NY 11209",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "11209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.