Ijeoma Tabansi

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

566325 Issued in NY

Practice address

16 Gadsen PL
Staten Island, NY 10314-4806

Phone

(917) 841-4513

Fax

(917) 841-4513

NPI assigned

Sep 8, 2017

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": "1504828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1104344274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GADSEN PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144806",
            "telephone_number": "917-841-4513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GADSEN PL",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103144806",
            "telephone_number": "917-841-4513",
            "fax_number": "917-841-4513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TABANSI",
        "first_name": "IJEOMA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-08",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "566325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• T Moore Psychotherapy LCSW, PLLC
• Khanh Gia Ta, DO
• Furat Ali Younis Taani, M.D
• Payam Tabankia, DMD
• Daniel Udeozo Tabansi, PMHNP
• Arabella Tabaquero
• Ester Tabay
• Kerissa Lee Tabona, CASAC-T
• Bianca Leigh Tabone
• Tabula Rosa

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, 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 Sep 8, 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.

Verify at the official NPI Registry.