Individual provider Active NPI

Elsa Abdelaziz, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1275786394
Registry record updated Nov 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
245952 Issued in NY
Practice address
140 Benchley PL
Apt #24 C
Bronx, NY 10475-3502
Phone
(347) 602-7447
NPI assigned
Nov 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2008

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 245952 NY Primary

Addresses

Primary practice location

140 Benchley PL
Apt #24 C
Bronx, NY 10475-3502

Mailing address

140 Benehley Place
24C
Bronx, NY 10475
Phone (347) 602-7447

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
245952NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1225670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225670400000",
    "number": "1275786394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BENEHLEY PLACE",
            "address_2": "24C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10475",
            "telephone_number": "347-602-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BENCHLEY PL",
            "address_2": "APT #24 C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753502",
            "telephone_number": "347-602-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABDELAZIZ",
        "first_name": "ELSA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-03",
        "last_updated": "2008-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "245952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2008; 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.