Individual provider Active NPI

Nikiray Colon I

  • Social Worker
  • Bronx, NY
National Provider Identifier
1770020745
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
218848279 Issued in NY
Practice address
320 E 197TH St
Apt# 5D
Bronx, NY 10458-3629
Phone
(917) 655-4709
NPI assigned
Jan 27, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 218848279 NY Primary

Addresses

Primary practice location

320 E 197TH St
Apt# 5D
Bronx, NY 10458-3629

Mailing address

320 E 197TH St
Apt# 5D
Bronx, NY 10458-3629
Phone (917) 655-4709

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250401003531 NY Practitioner - Clinical Social Worker 1850814666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sehwan Medical Care PLLCGroup PAC ID 8022468875, 56 clinicians

Practice addresses (Care Compare)

45 Ludlow St
Suite 402
Yonkers, NY 10705-1949
Phone (914) 570-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
218848279NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sehwan Medical Care PLLC CurrentSince Jan 27, 2025 Accepting new patients

Locations

831 Bedford Ave
Brooklyn, NY 11205

45 Ludlow St
Ste 402
Yonkers, NY 10705
Phone (914) 570-9000

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": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1770020745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 E 197TH ST",
            "address_2": "APT# 5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583629",
            "telephone_number": "917-655-4709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E 197TH ST",
            "address_2": "APT# 5D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104583629",
            "telephone_number": "917-655-4709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "NIKIRAY",
        "name_suffix": "I",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-01-27",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "218848279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.