Active NPI
Lyza Trinidad Bandong
- Acute Care Nurse Practitioner
- New York, NY
National Provider Identifier
1386097111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- F431016 -1
- Practice address
- 417 E 90TH St Apt 7B
New York, NY 10128-5173 - Phone
- (646) 284-8891
- NPI assigned
- Jul 17, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | F431016 -1 | NY | Primary |
Addresses
Primary practice location
417 E 90TH St Apt 7B
New York, NY 10128-5173
Mailing address
417 E 90TH St Apt 7B
New York, NY 10128-5173
Phone (646) 284-8891
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
| License | State | Type | Specialty |
|---|---|---|---|
| F431016 -1 | NY | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468713600000",
"number": "1386097111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 E 90TH ST APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285173",
"telephone_number": "646-284-8891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 E 90TH ST APT 7B",
"city": "NEW YORK",
"state": "NY",
"postal_code": "101285173",
"telephone_number": "646-284-8891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDONG",
"first_name": "LYZA TRINIDAD",
"name_prefix": "Miss",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-17",
"last_updated": "2016-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "NY",
"license": "F431016 -1",
"primary": true
}
],
"identifiers": [],
"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 Jul 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.