Individual provider Active NPI

Dominic Anosike

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1003043522
Registry record updated Nov 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
643501 Issued in NY
Practice address
1600 Pelham Pkwy S
Bronx, NY 10461-1103
Phone
(718) 918-4850
NPI assigned
Jun 11, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 289654 NY
Registered Nurse 163W00000X 643501 NY Primary

Addresses

Primary practice location

1600 Pelham Pkwy S
Bronx, NY 10461-1103

Mailing address

1234 Shakespeare Ave
3C
Bronx, NY 10452-3908
Phone (718) 537-4484

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
643501NYMDRegistered Nurse

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBDEAA/Endpoint/DBDEAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DBDEAA

NPI Registry JSON

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

{
    "created_epoch": "1244678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416528000000",
    "number": "1003043522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1234 SHAKESPEARE AVE",
            "address_2": "3C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104523908",
            "telephone_number": "718-537-4484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PELHAM PKWY S",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611103",
            "telephone_number": "718-918-4850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANOSIKE",
        "first_name": "DOMINIC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-11",
        "last_updated": "2014-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "289654",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "643501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; 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.