Active NPI
Pheron C St. John
- Social Worker
- Bronx, NY
National Provider Identifier
1760014823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 103718-1
- Practice address
- 1259 Grant Ave Apt 7E
Bronx, NY 10456-1787 - Phone
- (917) 520-8100
- NPI assigned
- Feb 6, 2020
- 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 | 103718-1 | NY | Primary |
Addresses
Primary practice location
1259 Grant Ave Apt 7E
Bronx, NY 10456-1787
Mailing address
1259 Grant Ave Apt 7E
Bronx, NY 10456-1787
Phone (917) 520-8100
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 |
|---|---|---|---|
| 103718-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580947200000",
"number": "1760014823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1259 GRANT AVE APT 7E",
"city": "BRONX",
"state": "NY",
"postal_code": "104561787",
"telephone_number": "917-520-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1259 GRANT AVE APT 7E",
"city": "BRONX",
"state": "NY",
"postal_code": "104561787",
"telephone_number": "917-520-8100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ST. JOHN",
"first_name": "PHERON",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "103718-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
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- St. Barnabas Orthopedic Surgery Practice PC
- Natasha St. Bernard
- Wendy St. Felix, NURSE PRACTITIONER
- Ashley St. Ford
- St. Joseph'S School for the Deaf
- Michele St. Louis, MD
- St. Nicholas Pediatrics, PC
- St. Patrick'S Home for the Aged and Infirm
- St. Thomas Physical Therapy. Inc.,
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.