Nishan Akwalia
Individual provider Active NPI In Home Supportive Care Agency · Levittown, NY
NPI 1043764020 · NPPES record last updated Aug 8, 2016
Key facts
- NPI
- 1043764020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- License
- 040319 (NY)
- Practice address
- 257 N Newbridge Rd Apt 2C
Levittown, NY 11756-1596 - Phone
- (704) 622-5274
- NPI assigned
- Aug 8, 2016
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 040319 | NY | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bravo Occupational Therapy PC | Past |
Accepting new patients | |
| Genesis Medical Health PC | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 040319 | NY | Yes |
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
Other providers in Levittown, NY
- Adis J.Diaz,O.D., P.C.
- Advance Physical Therapy, P.C.
- Mushda Afghanzada
- Ahujadental Long Island PC
- Shelina Akther
- Elizabeth Marie Alagna
- James Randall Albanese
- Tracy Anne Alber
- Dimitrios Stamatis Alexopoulos
- Heather Alich
All providers in Levittown, NY · In Home Supportive Care Agency in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 8, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.