Individual provider Active NPI

Inza Sangare V, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1306238555
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
316718 Issued in NY
Practice address
1100 Franklin Ave Apt 1a
Bronx, NY 10456-5575
Phone
(646) 319-0204
NPI assigned
Feb 25, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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 316718 NY Primary

Addresses

Primary practice location

1100 Franklin Ave Apt 1a
Bronx, NY 10456-5575

Mailing address

1100 Franklin Ave Apt 1a
Bronx, NY 10456-5575
Phone (646) 319-0204

Other identifiers 1

IdentifierTypeStateIssuer
316718OtherNYLPN

Other names 1

  • Inza Sangare V Former name

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
316718NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1424822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1306238555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565575",
            "telephone_number": "646-319-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 FRANKLIN AVE APT 1A",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104565575",
            "telephone_number": "646-319-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANGARE",
        "first_name": "INZA",
        "name_suffix": "V",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-25",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "316718",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN",
            "identifier": "316718",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INZA",
            "last_name": "SANGARE",
            "suffix": "V",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 Feb 25, 2015; 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.