Active NPI
Javier Duran
- Social Worker
- Brooklyn, NY
National Provider Identifier
1861018137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 108709
- Practice address
- 800 Poly PL Apt 2
Brooklyn, NY 11209-7104 - Phone
- (904) 314-3562
- NPI assigned
- Jun 22, 2020
- Last updated
- Jun 22, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 34833 | NY | |
| Social Worker | 104100000X | 108709 | NY | Primary |
Addresses
Primary practice location
800 Poly PL Apt 2
Brooklyn, NY 11209-7104
Mailing address
800 Poly PL Apt 2
Brooklyn, NY 11209-7104
Phone (904) 314-3562
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 |
|---|---|---|---|
| 108709 | NY | MD | Social Worker |
| 34833 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1861018137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "800 POLY PL APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097104",
"telephone_number": "904-314-3562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 POLY PL APT 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112097104",
"telephone_number": "904-314-3562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DURAN",
"first_name": "JAVIER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-22",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "34833",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "108709",
"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 Jun 22, 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.