Active NPI
De'Edra Cox De la Garza
- Social Worker
- Jamaica, NY
National Provider Identifier
1811035173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P55448
- Practice address
- 8956 162ND St
Jamaica, NY 11432-5072 - Phone
- (718) 657-7100
- Fax
- (718) 657-7137
- NPI assigned
- Feb 1, 2007
- 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 | P55448 | NY | Primary |
Addresses
Primary practice location
8956 162ND St
Jamaica, NY 11432-5072
Mailing address
12506 97TH Ave
South Richmond Hill, NY 11419-1406
Phone (718) 554-1629
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 |
|---|---|---|---|
| P55448 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1811035173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12506 97TH AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191406",
"telephone_number": "718-554-1629"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8956 162ND ST",
"city": "JAMAICA",
"state": "NY",
"postal_code": "114325072",
"telephone_number": "718-657-7100",
"fax_number": "718-657-7137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA GARZA",
"first_name": "DE'EDRA",
"middle_name": "COX",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P55448",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamaica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.