Chana Boundras Moseson

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

536117 Issued in NY

Practice address

1027 Rose St
Far Rockaway, NY 11691-4744

Phone

(424) 789-1020

NPI assigned

Sep 25, 2013

Last updated

Sep 25, 2013By the provider in NPPES

Sex

Female

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

State licenses

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

{
    "created_epoch": "1380067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380067200000",
    "number": "1063848893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 ROSE ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914744",
            "telephone_number": "424-789-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 ROSE ST",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914744",
            "telephone_number": "424-789-1020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOUNDRAS MOSESON",
        "first_name": "CHANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-25",
        "last_updated": "2013-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "536117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Boris Mendel (New Central Manor ALP)
• Mark M Bornstein, D.D.S.
• Boro Park Rehabilitation P.T., PLLC
• Alicia A Bosley, PHD, LMFT
• Daniel Bouchette
• Dylana Bourne
• Rochelle Bourne
• Dawn Dianne Bowen, RN
• Marva Elaine Bowen, OTR/L
• Nancy Susan Bowen, M.S ED

• Licensed Practical Nurse in Far Rockaway, NY
• Providers in Far Rockaway, 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 Sep 25, 2013; 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.