Micah Eastman, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

244647 Issued in NY

Practice address

729A Macon St
Brooklyn, NY 11233-1313

Phone

(917) 862-5215

Fax

(718) 347-4643

NPI assigned

Jun 24, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Micah Eastman LPN, Michael Eastman RN, Oshea Eastman RN, PLLC

  • Home Health Agency
  • New York, NY
  • NPI 1013539311
  NPD Authorized official
• Leroy Herbert, MD,PC

  • Nephrology Physician
  • New York, NY
  • NPI 1649461757
  NPD (past)

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

{
    "created_epoch": "1245801600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245801600000",
    "number": "1063640472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 TULIP AVENUE",
            "address_2": "PO BOX 20838",
            "city": "FLORAL PARK",
            "state": "NY",
            "postal_code": "11002",
            "telephone_number": "917-862-5215",
            "fax_number": "718-347-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "729A MACON ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112331313",
            "telephone_number": "917-862-5215",
            "fax_number": "718-347-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EASTMAN",
        "first_name": "MICAH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-24",
        "last_updated": "2009-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "244647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Dental Care PLLC
• Eastern Family Dental P.C
• Eastern Podiatry PLLC
• Eastern PT Corp
• Eastern Sky Psychotherapy LCSW PC
• Olivia Eastman
• Sheila Lenora Eastmond-Chapman, RN, FNP
• Eastpoint Physical Medicine and Rehabilitation, P.C
• Erin Eastwood
• Easy Choice Pharmacy Inc

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2009; 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.