Active NPI
Khaleda Karena Nizam, RN
- School Registered Nurse
- Floral Park, NY
National Provider Identifier
1134436918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 570607-1
- Practice address
- 8466 257TH St
Floral Park, NY 11001-1004 - Phone
- (212) 851-6910
- NPI assigned
- Sep 1, 2010
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 570607-1 | NY | Primary |
Addresses
Primary practice location
8466 257TH St
Floral Park, NY 11001-1004
Mailing address
84-66 257 Street
Floral Park, NY 11001
Phone (212) 851-6910
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 570607-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1283299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283299200000",
"number": "1134436918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "84-66 257 STREET",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "11001",
"telephone_number": "212-851-6910"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8466 257TH ST",
"city": "FLORAL PARK",
"state": "NY",
"postal_code": "110011004",
"telephone_number": "212-851-6910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIZAM",
"first_name": "KHALEDA",
"middle_name": "KARENA",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-01",
"last_updated": "2010-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "570607-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Floral Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.