Active NPI
Evelyn M Intondi, CNM
- Advanced Practice Midwife
- New York, NY
National Provider Identifier
1356553390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- 000400
- Practice address
- 26 Bleecker St
New York, NY 10012-2413 - Phone
- (212) 274-7348
- NPI assigned
- May 3, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | 000400 | NY | Primary |
Addresses
Primary practice location
26 Bleecker St
New York, NY 10012-2413
Mailing address
26 Bleecker St
New York, NY 10012-2413
Phone (212) 274-7348
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02474211 | Medicaid | NY |
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
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000400 | NY | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321574400000",
"number": "1356553390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 BLEECKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122413",
"telephone_number": "212-274-7348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26 BLEECKER ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100122413",
"telephone_number": "212-274-7348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INTONDI",
"first_name": "EVELYN",
"middle_name": "M",
"credential": "CNM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2011-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "NY",
"license": "000400",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02474211",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.