Individual provider Active NPI

Ivana Chinonso Anuforo, RN/ LPN

  • Licensed Practical Nurse
  • Jersey City, NJ
National Provider Identifier
1013786060
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP08174400 Issued in NJ
Practice address
1078 Summit Ave Unit 308
Jersey City, NJ 07307-3438
Phone
(508) 514-0265
NPI assigned
Jan 1, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 26NP08174400 NJ Primary

Addresses

Primary practice location

1078 Summit Ave Unit 308
Jersey City, NJ 07307-3438

Mailing address

132 Yale Ave Unit 109
Jersey City, NJ 07304-4348
Phone (508) 514-0265

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NP08174400NJMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Seraphic Healthcare Current Accepting new patients

Locations

1078 Summit Ave
Jersey City, NJ 07307
Phone (240) 234-3549

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": "1704067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1013786060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132 YALE AVE UNIT 109",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073044348",
            "telephone_number": "508-514-0265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1078 SUMMIT AVE UNIT 308",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073073438",
            "telephone_number": "508-514-0265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANUFORO",
        "first_name": "IVANA",
        "middle_name": "CHINONSO",
        "name_prefix": "Miss",
        "credential": "RN/ LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-01",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP08174400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2024; 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.