Individual provider Active NPI

Aisha Delfaus, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Bronx, NY
National Provider Identifier
1356889174
Registry record updated Aug 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404756 Issued in NY
Practice address
140 Casals PL
Apt 9D
Bronx, NY 10475-3202
Phone
(917) 456-7361
NPI assigned
Feb 1, 2017
Reactivated
Jun 6, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404756 NY Primary
Registered Nurse 163W00000X 713804 NY

Addresses

Primary practice location

140 Casals PL
Apt 9D
Bronx, NY 10475-3202

Mailing address

140 Casals PL
Apt 9D
Bronx, NY 10475-3202
Phone (917) 456-7361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
713804NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Radial Health Florida, P.a. CurrentSince Nov 1, 2024 Accepting new patients

Locations

58 N 9th St
Ste 103
Brooklyn, NY 11249
Phone (929) 346-4317

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": "1485907200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692489600000",
    "number": "1356889174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 CASALS PL",
            "address_2": "APT 9D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753202",
            "telephone_number": "917-456-7361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CASALS PL",
            "address_2": "APT 9D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104753202",
            "telephone_number": "917-456-7361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELFAUS",
        "first_name": "AISHA",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-01",
        "last_updated": "2023-08-20",
        "certification_date": "2023-08-20",
        "deactivation_date": "2023-05-15",
        "reactivation_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404756",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "713804",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.