Active NPI
Bernice W Wambari-Jones
- Registered Nurse
- Brooklyn, NY
National Provider Identifier
1295024263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 747195
- Practice address
- 630 Flushing Ave FL 2
Brooklyn, NY 11206 - Phone
- (718) 828-2666
- NPI assigned
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 304089 | NY | |
| Registered Nurse | 163W00000X | 747195 | NY | Primary |
Addresses
Primary practice location
630 Flushing Ave FL 2
Brooklyn, NY 11206
Mailing address
11441 Farmers Blvd
Saint Albans, NY 11412-2739
Phone (718) 465-0555
Other practice location 1
20514 Linden Blvd
Suite #204
Jamaica, NY 11412-2900
Phone (718) 528-5493
Other practice location 2
11441 Farmers Blvd
Saint Albans, NY 11412-2739
Phone (718) 465-0555
Other practice location 3
365 Broadway Ste 4A
Amityville, NY 11701-2716
Phone (631) 608-8523
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
| License | State | Type | Specialty |
|---|---|---|---|
| 747195 | NY | MD | Registered Nurse |
| 304089 | NY | MD | Licensed Practical Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspired Inhouse Health Care, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Home Health Agency
- Saint Albans, NY
- NPI 1760937023
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527897600000",
"number": "1295024263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11441 FARMERS BLVD",
"city": "SAINT ALBANS",
"state": "NY",
"postal_code": "114122739",
"telephone_number": "718-465-0555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 FLUSHING AVE FL 2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11206",
"telephone_number": "718-828-2666"
}
],
"practiceLocations": [
{
"address_1": "20514 Linden Blvd",
"address_2": "Suite #204",
"address_purpose": "LOCATION",
"city": "Jamaica",
"state": "NY",
"postal_code": "114122900",
"country_code": "US",
"telephone_number": "718-528-5493",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11441 Farmers Blvd",
"address_purpose": "LOCATION",
"city": "Saint Albans",
"state": "NY",
"postal_code": "114122739",
"country_code": "US",
"telephone_number": "718-465-0555",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "365 Broadway Ste 4A",
"address_purpose": "LOCATION",
"city": "Amityville",
"state": "NY",
"postal_code": "117012716",
"country_code": "US",
"telephone_number": "631-608-8523",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WAMBARI-JONES",
"first_name": "BERNICE",
"middle_name": "W",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2018-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "304089",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "747195",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.