Individual provider Active NPI

Judifer Dorothea Dupal, LPN

  • Licensed Practical Nurse
  • Mount Vernon, NY
National Provider Identifier
1275763070
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
174080 Issued in NY
Practice address
9 W Prospect Ave Ste 310
Absolute Home Health Care, Inc.
Mount Vernon, NY 10550-2049
Phone
(914) 699-0022
NPI assigned
Jul 15, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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 174080 NY Primary

Addresses

Primary practice location

9 W Prospect Ave Ste 310
Absolute Home Health Care, Inc.
Mount Vernon, NY 10550-2049

Mailing address

1935 Nereid Ave
Bronx, NY 10466-1245
Phone (646) 363-7747

Other identifiers 1

IdentifierTypeStateIssuer
174080OtherNYLICENCE NUMBER

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

LicenseStateTypeSpecialty
174080NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Absolute Home Health Care Inc Past Accepting new patients
Absolute Home Health Care Inc Past Accepting new patients

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247616000000",
    "number": "1275763070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1935 NEREID AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104661245",
            "telephone_number": "646-363-7747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 W PROSPECT AVE STE 310",
            "address_2": "ABSOLUTE HOME HEALTH CARE, INC.",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502049",
            "telephone_number": "914-699-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPAL",
        "first_name": "JUDIFER",
        "middle_name": "DOROTHEA",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-15",
        "last_updated": "2009-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "174080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "174080",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Vernon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2009; 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.