Individual provider Active NPI

Mariam Abukwaik

  • Social Worker
  • New York, NY
National Provider Identifier
1952015356
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118209 Issued in NY
Practice address
287 Park Ave S FL 2
New York, NY 10010-4573
Phone
(607) 289-3684
NPI assigned
Jan 10, 2023
Last updated
Jan 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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 118209 NY Primary

Addresses

Primary practice location

287 Park Ave S FL 2
New York, NY 10010-4573

Mailing address

287 Park Ave S FL 2
New York, NY 10010-4573

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mariam.abukwaik@mywellbeing.com MyWellBeing

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

LicenseStateTypeSpecialty
118209NYMDSocial Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1952015356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "287 PARK AVE S FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "287 PARK AVE S FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104573",
            "telephone_number": "607-289-3684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUKWAIK",
        "first_name": "MARIAM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "118209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mariam.abukwaik@mywellbeing.com",
            "affiliation": "Y",
            "affiliationName": "MyWellBeing",
            "address_1": "287 Park Ave S Fl 2",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100104573",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.