Active NPI
Sandra Murray
- Licensed Practical Nurse
- Brooklyn, NY
National Provider Identifier
1083184618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 268881
- Practice address
- 6321 New Utrecht Avenue Second Floor
Brooklyn, NY 11219 - Phone
- (212) 687-7464
- Fax
- (718) 799-1049
- NPI assigned
- Nov 27, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 268881 | NY | Primary |
Addresses
Primary practice location
6321 New Utrecht Avenue Second Floor
Brooklyn, NY 11219
Mailing address
2910 Fenton Ave 2R
Bronx, NY 10459
Phone (917) 969-3182
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 |
|---|---|---|---|
| 268881 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543276800000",
"number": "1083184618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2910 FENTON AVE 2R",
"city": "BRONX",
"state": "NY",
"postal_code": "10459",
"telephone_number": "917-969-3182",
"fax_number": "718-799-1049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6321 NEW UTRECHT AVENUE SECOND FLOOR",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11219",
"telephone_number": "212-687-7464",
"fax_number": "718-799-1049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MURRAY",
"first_name": "SANDRA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-27",
"last_updated": "2018-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "268881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.