Imana RN LLC

Primary specialty

Registered NurseTaxonomy code 163W00000X

Legal business name

IMANA RN LLC

Practice address

416 N. Fulton Avenue
Suite 4000
Mount Vernon, NY 10552-2214

Phone

(347) 282-0458

Fax

(914) 699-2649

NPI assigned

Mar 26, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Peter Aleghe Imana, RN REGISTERED NURSE

Title

President/Ceo

Phone

(347) 282-0458

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1235766320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 N. FULTON AVENUE",
            "address_2": "SUITE 4000",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522214",
            "telephone_number": "347-282-0458",
            "fax_number": "914-699-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 N. FULTON AVENUE",
            "address_2": "SUITE 4000",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105522214",
            "telephone_number": "347-282-0458",
            "fax_number": "914-699-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMANA RN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "IMANA",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "ALEGHE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "347-282-0458",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RN REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2020; 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.