NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
Nurse Practitioner (Adult Health)

Address: 100 West Kindsbridge Road, Bronx, NY 10468-0355

NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE (NPI# 1376124297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1376124297
Entity Type Organization
Organization Name NURSE PRACTITIONER IN ADULT GERONTOLOGY FAMILY AND PALLATIVE
Practice Address 100 West Kindsbridge Road
Bronx
NY 10468-0355
Practice Telephone 9179152866
Mailing Address 169 S Main St
New City
NY 10956-3353
Mailing Telephone 9179152866
Certification Date 2021-03-26
Enumeration Date 2021-04-21
Last Update Date 2021-04-21
Authorized Official Telephone 9179152866
Authorized Official Credential NP
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Grouping
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
193400000X SINGLE SPECIALTY GROUP Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifiers

Identifier State Issuer Type Code
1356367569 NY MEDICAID

Office Location

Street Address 100 WEST KINDSBRIDGE ROAD
City BRONX
State NY
Zip Code 10468-0355

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1417446840 Amina Khalid Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Rd., Bronx, NY 10468 2018-05-01
1912521550 Zara Idrees Student in an Organized Health Care Education/Training Program 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 2020-05-29
1063876092 Lucinda Bratini Psychologist - Counseling 250 Bedford Park Blvd, Lehman College,Cuny, Bronx, NY 10468 2016-04-06
1386098598 Cindy Lopez Licensed Practical Nurse 2385 Walton Ave, Bronx, NY 10468 2016-04-14
1528547312 Norwood Professional Medical Services of New York LLC Surgery - Vascular Surgery 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 2018-08-13
1578050142 Sayed Tauseef Ahmad Jan Student in an Organized Health Care Education/Training Program 130 Kingsbridge Road, Bronx, NY 10468 2018-04-18
1861928327 Veterans Radio Dispather Corp. Taxi 131 West Kingsbride Road, Bronx, NY 10468 2017-05-03
1811473721 Okyeniba Medical PC Pediatrics 58 East Kingsbridge Road, Bronx, NY 10468 2018-07-13
1639627045 Yahaira Acosta-Urena · Yahaira Urena Contractor 115 West 197th St. C23, Bronx, NY 10468 2016-09-14
1306209507 Wayne Alwyn Powell Marriage & Family Therapist 2345 University Avenue, Bronx, NY 10468 2016-04-04
Find all in zip 10468

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1609451384 Tiffany N Byrd Nurse Practitioner - Adult Health 2728 Henry Hudson Pkwy Apt 64b, Bronx, NY 10463-4746 2021-03-14
1770184673 Annette Virosami Nurse Practitioner - Adult Health 890 Trinity Ave, Bronx, NY 10456-7419 2020-11-06
1205449113 Alexandra Gomez Nurse Practitioner - Adult Health 2233 Esplanade Ave, Bronx, NY 10469-5405 2020-08-29
1457979510 Judith Brady Nurse Practitioner - Adult Health 3240 Paulding Ave, Bronx, NY 10469-3843 2020-07-06
1023650850 Andrew Lai Nurse Practitioner - Adult Health 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 2019-10-14
1881113652 Vivian Grace Parham Nurse Practitioner - Adult Health 1395 Nelson Ave., 2a, Bronx, NY 10452 2017-09-13
1649794744 Natasha Ann Pinheiro Nurse Practitioner - Adult Health 441 E Fordham Rd Lowr Level, Bronx, NY 10458-5149 2017-07-31
1467984633 Analiza Benjamin Nurse Practitioner - Adult Health 1930 Mulford Ave, Bronx, NY 10461-4009 2017-03-28
1386190031 Lauren Ann Wassef Nurse Practitioner - Adult Health 3594 E Tremont Ave Ste 300, Bronx, NY 10465-2032 2016-08-31
1437558244 Sherin Shijo Zacharias · Sherin Joseph Nurse Practitioner - Adult Health Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 2014-08-18
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Competitor

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City BRONX
Zip Code 10468

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.