Individual provider Active NPI

Le Ly, LPN

  • Licensed Practical Nurse
  • Atlantic City, NJ
National Provider Identifier
1295069821
Registry record updated Sep 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP06193600 Issued in NJ
Practice address
1401 Atlantic Ave
Suite 2500 Special Care Center
Atlantic City, NJ 08401-7022
Phone
(609) 572-8800
NPI assigned
Sep 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 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 26NP06193600 NJ Primary

Addresses

Primary practice location

1401 Atlantic Ave
Suite 2500 Special Care Center
Atlantic City, NJ 08401-7022

Mailing address

1401 Atlantic Ave
Suite 2500 Special Care Center
Atlantic City, NJ 08401-7022
Phone (609) 572-8800

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
26NP06193600NJMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1254268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254268800000",
    "number": "1295069821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 ATLANTIC AVE",
            "address_2": "SUITE 2500 SPECIAL CARE CENTER",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017022",
            "telephone_number": "609-572-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 ATLANTIC AVE",
            "address_2": "SUITE 2500 SPECIAL CARE CENTER",
            "city": "ATLANTIC CITY",
            "state": "NJ",
            "postal_code": "084017022",
            "telephone_number": "609-572-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LY",
        "first_name": "LE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-30",
        "last_updated": "2009-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06193600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantic City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.