Active NPI
Jaime Ruiz, LMSW
- Social Worker
- Brooklyn, NY
National Provider Identifier
1841926524
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 095000
- Practice address
- 3807-3809 Church Ave
Brooklyn, NY 11203 - Phone
- (718) 940-2200
- NPI assigned
- Jul 26, 2022
- Sex
- Male
- 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 | 095000 | NY | Primary |
Addresses
Primary practice location
3807-3809 Church Ave
Brooklyn, NY 11203
Mailing address
337 Lake Vue Drive
Montgomery, NY 12549
Phone (407) 340-8534
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1658793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658793600000",
"number": "1841926524",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "337 LAKE VUE DRIVE",
"city": "MONTGOMERY",
"state": "NY",
"postal_code": "12549",
"telephone_number": "407-340-8534"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3807-3809 CHURCH AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11203",
"telephone_number": "718-940-2200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUIZ",
"first_name": "JAIME",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-07-26",
"last_updated": "2022-07-26",
"certification_date": "2022-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "095000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.