Leroi Ephraim Dewitt Jr., RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

652287 Issued in NY

Practice address

30 Park Ave
#5D
Mount Vernon, NY 10550-2145

Phone

(347) 203-9580

NPI assigned

Jul 9, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1215561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372118400000",
    "number": "1104089184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "address_2": "#5D",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502145",
            "telephone_number": "347-203-9580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PARK AVE",
            "address_2": "#5D",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502145",
            "telephone_number": "347-203-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWITT",
        "first_name": "LEROI",
        "middle_name": "EPHRAIM",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-09",
        "last_updated": "2013-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292387",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "652287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mia Nichole Dessesaure
• Jessie Billings Destefano, OTRL
• Edly Destine, DDS
• Rita Nancy Deutsch, LCSW
• Rouchelle Deux, MSED, CCC-SLP
• Dhansukh Patel M.D. PC
• Diana'S Angels Home Care, Inc
• Dianas Angels Home Care Inc
• Diaon Clarke LCSW LLC
• Mary-Louise Diaz-Matos, RN

• Registered Nurse in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Registered Nurse in New York

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