Individual provider Active NPI

Nishan Akwalia

  • In Home Supportive Care Agency
  • Levittown, NY
National Provider Identifier
1043764020
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
040319 Issued in NY
Practice address
257 N Newbridge Rd Apt 2C
Levittown, NY 11756-1596
Phone
(704) 622-5274
NPI assigned
Aug 8, 2016
Last updated
Aug 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 040319 NY Primary

Addresses

Primary practice location

257 N Newbridge Rd Apt 2C
Levittown, NY 11756-1596

Mailing address

257 N Newbridge Rd Apt 2C
Levittown, NY 11756-1596

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
040319NYMDIn Home Supportive Care Agency

Practice roles

OrganizationSpecialtyStatusNew patients
Bravo Occupational Therapy PC PastSince Jan 1, 2017 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1043764020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "257 N NEWBRIDGE RD APT 2C",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "257 N NEWBRIDGE RD APT 2C",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117561596",
            "telephone_number": "704-622-5274"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKWALIA",
        "first_name": "NISHAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NY",
            "license": "040319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Levittown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.