Marjorie Bossous

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

284753 Issued in NY

Practice address

14963 Weller LN
Rosedale, NY 11422-2736

Phone

(718) 421-4224

NPI assigned

Sep 25, 2008

Last updated

Sep 25, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Helpful Hand Agency Agency Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1285884346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14963 WELLER LN",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222736",
            "telephone_number": "718-421-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14963 WELLER LN",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114222736",
            "telephone_number": "718-421-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSSOUS",
        "first_name": "MARJORIE",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "284753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02386450",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HELPFUL HAND AGENCY",
            "last_name": "AGENCY",
            "credential": "284753",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Brookville Pharmacy Inc

• Licensed Practical Nurse in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.