Individual provider Active NPI

Marian O Patawah, RN

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1295249704
Registry record updated Jul 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
768947 Issued in NY
Practice address
959 E 212TH St FL 2
Bronx, NY 10469-1109
Phone
(646) 837-1849
NPI assigned
Nov 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 329554 NY
Registered Nurse 163W00000X 768947 NY Primary

Addresses

Primary practice location

959 E 212TH St FL 2
Bronx, NY 10469-1109

Mailing address

959 E 212TH St FL 2
Bronx, NY 10469-1109
Phone (646) 837-1849

Other practice location 1

801 E 241st St
Bronx, NY 10470-1303
Phone (718) 671-2100

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
768947NYMDRegistered Nurse
329554NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Pioneer Homecare 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.

NPI Registry JSON

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

{
    "created_epoch": "1511136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593907200000",
    "number": "1295249704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "959 E 212TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691109",
            "telephone_number": "646-837-1849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "959 E 212TH ST FL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104691109",
            "telephone_number": "646-837-1849"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 E 241st St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104701303",
            "country_code": "US",
            "telephone_number": "718-671-2100",
            "fax_number": "718-671-1269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATAWAH",
        "first_name": "MARIAN",
        "middle_name": "O",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-11-20",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "329554",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "768947",
            "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 Jul 5, 2020; 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.