Active NPI
Nosakhare Anthony Egharevba
- School Registered Nurse
- Bronx, NY
National Provider Identifier
1053821660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 672-309
- Practice address
- 370 Gerard Ave
Bronx, NY 10451-5432 - Phone
- (718) 585-6580
- NPI assigned
- Oct 9, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 672-309 | NY | Primary |
Addresses
Primary practice location
370 Gerard Ave
Bronx, NY 10451-5432
Mailing address
1611 Bussing Ave
Bronx, NY 10466-4376
Phone (646) 796-6884
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
| License | State | Type | Specialty |
|---|---|---|---|
| 672-309 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1507507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1507507200000",
"number": "1053821660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1611 BUSSING AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104664376",
"telephone_number": "646-796-6884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "370 GERARD AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104515432",
"telephone_number": "718-585-6580"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EGHAREVBA",
"first_name": "NOSAKHARE",
"middle_name": "ANTHONY",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-10-09",
"last_updated": "2017-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "672-309",
"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 Oct 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.