Atiyah Abdurraheem, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP06329900 Issued in NJ

Practice address

2250 Hickory Rd
Plymouth Meeting, PA 19462-1047

Phone

(609) 387-7609

NPI assigned

Jul 23, 2011

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": "1311379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311379200000",
    "number": "1174801237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MAUREEN CT",
            "city": "SICKLERVILLE",
            "state": "NJ",
            "postal_code": "080812020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2250 HICKORY RD",
            "city": "PLYMOUTH MEETING",
            "state": "PA",
            "postal_code": "194621047",
            "telephone_number": "609-387-7609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDURRAHEEM",
        "first_name": "ATIYAH",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-23",
        "last_updated": "2011-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06329900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nazanin Abdollahi
• Katrina Abdullah
• Tahir Abdullah
• Jafar Abdulmumin
• Isa Abdur-Rahman, RN
• Karimah Abdussalaam, LPN
• Demetra Abel, CNA
• Michelle Abel
• Annemarie Abelowitz, R.N.
• David Abelsohn, PHD

• All providers in Plymouth Meeting, PA
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.