Mgcini Israel Ndiweni I, RRT

Primary specialty

Registered Respiratory TherapistTaxonomy code 227900000X

License

010922 Issued in AZ

Practice address

247 N 152ND Dr
Goodyear, AZ 85338-2959

Phone

(480) 498-0424

NPI assigned

Dec 15, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Israel Mgcini Mpofu Former name

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": "1418601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418601600000",
    "number": "1235537747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382959",
            "telephone_number": "480-498-0424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N 152ND DR",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382959",
            "telephone_number": "480-498-0424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDIWENI",
        "first_name": "MGCINI",
        "middle_name": "ISRAEL",
        "name_suffix": "I",
        "credential": "RRT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "227900000X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Registered",
            "state": "AZ",
            "license": "010922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISRAEL",
            "last_name": "MPOFU",
            "middle_name": "MGCINI",
            "prefix": "MR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Registered Respiratory Therapist in Goodyear, AZ
• Providers in Goodyear, AZ by specialty
• Registered Respiratory Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.