Active NPI
Nyema Sharay Joseph
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1174806673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 7341900
- Practice address
- 3924 E Tremont Ave
Bronx, NY 10465-2900 - Phone
- (718) 409-6500
- Fax
- (718) 239-1295
- NPI assigned
- Sep 21, 2011
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 7341900 | NY | Primary |
Addresses
Primary practice location
3924 E Tremont Ave
Bronx, NY 10465-2900
Mailing address
3924 East Tremont Avenue
Bronx, NY 10465
Phone (718) 409-6500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9533 | Other | NY | SOCIAL SECURITY # |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7341900 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1316563200000",
"number": "1174806673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3924 EAST TREMONT AVENUE",
"city": "BRONX",
"state": "NY",
"postal_code": "10465",
"telephone_number": "718-409-6500",
"fax_number": "718-239-1295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3924 E TREMONT AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104652900",
"telephone_number": "718-409-6500",
"fax_number": "718-239-1295"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOSEPH",
"first_name": "NYEMA",
"middle_name": "SHARAY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "7341900",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOCIAL SECURITY #",
"identifier": "9533",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 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.