Individual provider Active NPI

Saran Traore

  • Social Worker
  • Forest Hills, NY
National Provider Identifier
1871241661
Registry record updated Mar 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Practice address
10818 Queens Blvd Ste 4A5Th
Forest Hills, NY 11375-4748
Phone
(212) 804-7659
Fax
(888) 975-7704
NPI assigned
Mar 11, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2022

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 NY Primary

Addresses

Primary practice location

10818 Queens Blvd Ste 4A5Th
Forest Hills, NY 11375-4748

Mailing address

1475 Thieriot Ave # 217
Bronx, NY 10460-3819
Phone (646) 341-7195

Other identifiers 1

IdentifierTypeStateIssuer
1194063016OtherNYEIP

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL EIP Other

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": "1646956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646956800000",
    "number": "1871241661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 THIERIOT AVE # 217",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104603819",
            "telephone_number": "646-341-7195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10818 QUEENS BLVD STE 4A5TH",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113754748",
            "telephone_number": "212-804-7659",
            "fax_number": "888-975-7704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAORE",
        "first_name": "SARAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-11",
        "last_updated": "2022-03-11",
        "certification_date": "2022-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EIP",
            "identifier": "1194063016",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EIP",
            "affiliation": "N",
            "endpointDescription": "EIP",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EIP",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EIP",
            "address_1": "10818 Queens Blvd Ste 4A5th",
            "city": "Forest Hills",
            "state": "NY",
            "country_code": "US",
            "postal_code": "113754748",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.

Verify at the official NPI Registry.