Active NPI
Mirel Baumgarten
- Social Worker
- Brooklyn, NY
National Provider Identifier
1982201612
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 10769401
- Practice address
- 1644 E 14TH St FL 5
Brooklyn, NY 11229-1197 - Phone
- (929) 273-7601
- NPI assigned
- Oct 6, 2020
- Sex
- Female
- Sole proprietor
- No
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 | 10769401 | NY | Primary |
Addresses
Primary practice location
1644 E 14TH St FL 5
Brooklyn, NY 11229-1197
Mailing address
1664 E 14TH St FL 5
Brooklyn, NY 11229-1155
Phone (929) 273-7601
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 |
|---|---|---|---|
| 10769401 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601942400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601942400000",
"number": "1982201612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1664 E 14TH ST FL 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291155",
"telephone_number": "929-273-7601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1644 E 14TH ST FL 5",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112291197",
"telephone_number": "929-273-7601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAUMGARTEN",
"first_name": "MIREL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-06",
"last_updated": "2020-10-06",
"certification_date": "2020-10-06",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "10769401",
"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 Oct 6, 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.