Individual provider Active NPI

Njanko Trawalleh, LPN-PRACTICAL NURSE

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1275980815
Registry record updated May 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
315411 Issued in NY
Practice address
2695 Briggs Ave
Apt. D4
Bronx, NY 10458-4006
Phone
(917) 293-2412
NPI assigned
May 23, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2016

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 315411 NY Primary

Addresses

Primary practice location

2695 Briggs Ave
Apt. D4
Bronx, NY 10458-4006

Mailing address

2695 Briggs Ave
Apt. D4
Bronx, NY 10458-4006
Phone (917) 293-2412

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
315411NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1463961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463961600000",
    "number": "1275980815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2695 BRIGGS AVE",
            "address_2": "APT. D4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584006",
            "telephone_number": "917-293-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2695 BRIGGS AVE",
            "address_2": "APT. D4",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104584006",
            "telephone_number": "917-293-2412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAWALLEH",
        "first_name": "NJANKO",
        "credential": "LPN-PRACTICAL NURSE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-23",
        "last_updated": "2016-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "315411",
            "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 May 23, 2016; 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.