Active NPI
Jirazel Munoz-Jimenez
- Social Worker
- Flushing, NY
National Provider Identifier
1770220600
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 117017-01
- Practice address
- 14015B Sanford Ave FL 2
Flushing, NY 11355-2557 - Phone
- (718) 358-8288
- NPI assigned
- May 12, 2022
- 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 | 117017 | NY | |
| Social Worker | 104100000X | 117017-01 | NY | Primary |
Addresses
Primary practice location
14015B Sanford Ave FL 2
Flushing, NY 11355-2557
Mailing address
330 51St St Apt 2B
Brooklyn, NY 11220-1823
Phone (347) 232-4510
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 |
|---|---|---|---|
| 117017 | NY | MD | Social Worker |
| 117017-01 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1770220600",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 51ST ST APT 2B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112201823",
"telephone_number": "347-232-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14015B SANFORD AVE FL 2",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113552557",
"telephone_number": "718-358-8288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNOZ-JIMENEZ",
"first_name": "JIRAZEL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-12",
"last_updated": "2022-07-28",
"certification_date": "2022-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117017",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "117017-01",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 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.