Individual provider Active NPI

Nancy Phillippa Ajayi, L.P.N.

  • Licensed Practical Nurse
  • Middletown, NY
National Provider Identifier
1174941868
Registry record updated Apr 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
317330 Issued in NY
Practice address
203 Genung St
Apartment 1010
Middletown, NY 10940-2557
Phone
(845) 321-6584
NPI assigned
Mar 31, 2014
Last updated
Apr 26, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2014

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 317330 NY Primary

Addresses

Primary practice location

203 Genung St
Apartment 1010
Middletown, NY 10940-2557

Mailing address

203 Genung St
Apartment 1010
Middletown, NY 10940-2557
Phone (845) 321-6584

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": "1396224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398470400000",
    "number": "1174941868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 GENUNG ST",
            "address_2": "APARTMENT 1010",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402557",
            "telephone_number": "845-321-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 GENUNG ST",
            "address_2": "APARTMENT 1010",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402557",
            "telephone_number": "845-321-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAYI",
        "first_name": "NANCY",
        "middle_name": "PHILLIPPA",
        "credential": "L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "317330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2014; 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.