Active NPI
Yajaira Rosa
- Clinical Social Worker
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 090608
- Practice address
- 975 Westchester Ave
Bronx, NY 10459-3204 - Phone
- (718) 320-4466
- Fax
- (718) 991-3829
- NPI assigned
- Jan 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 094218-1 | NY | |
| Clinical Social Worker | 1041C0700X | 090608 | NY | Primary |
Addresses
Primary practice location
975 Westchester Ave
Bronx, NY 10459-3204
Mailing address
60 Madison Ave
5TH Floor
New York, NY 10010-1600
Phone (212) 545-2439
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00695941 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1002 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 094218-1 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valera Medical, P.C. | Social Worker | Current | Accepting new patients |
| Community Healthcare Network, Inc. | Current | Accepting new patients |
Locations
1002 Westchester Ave
Bronx, NY 10459
Phone (718) 320-4466
2581 Atlantic Ave
Brooklyn, NY 11207
Phone (718) 495-6700
134 N 4th St
Brooklyn, NY 11249
3611 21st St
Long Island City, NY 11106
Phone (718) 482-7488
44 W 28th St
Fl 5
New York, NY 10001
Phone (212) 545-2439
60 Madison Ave
Fl 5
New York, NY 10010
Phone (212) 545-2400
255 E Houston St
New York, NY 10002
Phone (212) 477-1120
511 W 157th St
New York, NY 10032
Phone (212) 781-7979
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1316014103
-
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1326525338
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718323200000",
"number": "1740727403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "60 MADISON AVE",
"address_2": "5TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100101600",
"telephone_number": "212-545-2439",
"fax_number": "646-312-0481"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "975 WESTCHESTER AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104593204",
"telephone_number": "718-320-4466",
"fax_number": "718-991-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROSA",
"first_name": "YAJAIRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-19",
"last_updated": "2024-06-14",
"certification_date": "2024-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "094218-1",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "090608",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00695941",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.