Individual provider Active NPI

Miriam Jeanie Schiller

  • Social Worker
  • Far Rockaway, NY
National Provider Identifier
1730601592
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118674701 Issued in NY
Practice address
1622 Central Ave
Far Rockaway, NY 11691-4002
Phone
(718) 327-9001
NPI assigned
Jul 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 118674701 NY Primary

Addresses

Primary practice location

1622 Central Ave
Far Rockaway, NY 11691-4002

Mailing address

156 Beach 9TH St Apt 6E
Far Rockaway, NY 11691-5638

Other practice location 1

156 Beach 9th St Apt 6E
Far Rockaway, NY 11691-5638
Phone (786) 447-9158

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
118674701NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
New Horizon Counseling Center Inc PastSince Jun 1, 2016 Accepting new patients

Organizations & group practices 1

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": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730601592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "156 BEACH 9TH ST APT 6E",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116915638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1622 CENTRAL AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914002",
            "telephone_number": "718-327-9001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Beach 9th St Apt 6E",
            "address_purpose": "LOCATION",
            "city": "Far Rockaway",
            "state": "NY",
            "postal_code": "116915638",
            "country_code": "US",
            "telephone_number": "786-447-9158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHILLER",
        "first_name": "MIRIAM",
        "middle_name": "JEANIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118674701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Far Rockaway, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.