Individual provider Active NPI

Ruth Manopla, MSW-LP

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1972134773
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
P103482 Issued in NY
Practice address
1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone
(718) 787-1600
NPI assigned
Jan 30, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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 P103482 NY Primary

Addresses

Primary practice location

1955 McDonald Ave
Brooklyn, NY 11223-1805

Mailing address

1955 McDonald Ave
Brooklyn, NY 11223-1805
Phone (718) 787-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260416001709 NY Practitioner - Nurse Practitioner 0749756856 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1529 E 7TH St
Brooklyn, NY 11230-6407

1955 McDonald Ave
Brooklyn, NY 11223-1805

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P103482NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Community Service Network, Inc. CurrentSince Feb 2, 2020 Accepting new patients

Locations

1955 McDonald Ave
Brooklyn, NY 11223
Phone (718) 787-1600

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1972134773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1955 MCDONALD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112231805",
            "telephone_number": "718-787-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANOPLA",
        "first_name": "RUTH",
        "credential": "MSW-LP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "P103482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.