Individual provider Active NPI

Geovannia Garcia, LPN

  • Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1184946550
Registry record updated Apr 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
431653 Issued in NY
Practice address
1590 Metropolitan Ave
Apt-6C
Bronx, NY 10462-6857
Phone
(718) 671-2100
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 297200 NY
Nurse Practitioner 363L00000X 431653 NY Primary

Addresses

Primary practice location

1590 Metropolitan Ave
Apt-6C
Bronx, NY 10462-6857

Mailing address

1590 Metropolitan Ave
Apt-6C
Bronx, NY 10462-6857
Phone (718) 671-2100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201002107 NY Practitioner - Nurse Practitioner 3577977651 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Allied Medical of Ny PCGroup PAC ID 9335590751, 11 clinicians

Practice addresses (Care Compare)

1 Old Country Rd
Suite 285
Carle Place, NY 11514-1824
Phone (973) 942-6005

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297200NYMDPsychiatry Physician
431653NYMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Medical of Ny PC CurrentSince Dec 1, 2023 Accepting new patients
World Chiropractic Incorporated Past Accepting new patients

Locations

510 Hamburg Tpke
Ste 102
Wayne, NJ 07470
Phone (973) 595-7555

1 Old Country Rd
Ste 285
Carle Place, NY 11514
Phone (973) 942-6005

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619136000000",
    "number": "1184946550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1590 METROPOLITAN AVE",
            "address_2": "APT-6C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626857",
            "telephone_number": "718-671-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1590 METROPOLITAN AVE",
            "address_2": "APT-6C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104626857",
            "telephone_number": "718-671-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "GEOVANNIA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2021-04-23",
        "certification_date": "2021-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "297200",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NY",
            "license": "431653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.