Individual provider Active NPI

Matina Orgella-Fanfan

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1154601490
Registry record updated Aug 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
303227 Issued in NY
Practice address
301 Sterling St
Apt 3G
Brooklyn, NY 11225-4147
Phone
(347) 365-3139
NPI assigned
Aug 18, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 303227 NY Primary

Addresses

Primary practice location

301 Sterling St
Apt 3G
Brooklyn, NY 11225-4147

Mailing address

301 Sterling St
Apt 3G
Brooklyn, NY 11225-4147
Phone (347) 365-3139

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

NPI Registry JSON

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313625600000",
    "number": "1154601490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 STERLING ST",
            "address_2": "APT 3G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254147",
            "telephone_number": "347-365-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 STERLING ST",
            "address_2": "APT 3G",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112254147",
            "telephone_number": "347-365-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORGELLA-FANFAN",
        "first_name": "MATINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2011-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "303227",
            "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 Aug 18, 2011; 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.