Active NPI
Rebecca S Serdans, ANP
- Adult Health Nurse Practitioner
- New York, NY
National Provider Identifier
1407109879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F304418-1
- Practice address
- 440 E 78TH St
Apt. 4 F
New York, NY 10075-1665 - Phone
- (212) 249-2808
- NPI assigned
- Oct 22, 2012
- Last updated
- Oct 22, 2012
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304418-1 | NY | Primary |
Addresses
Primary practice location
440 E 78TH St
Apt. 4 F
New York, NY 10075-1665
Mailing address
440 E 78TH St
Apt. 4 F
New York, NY 10075-1665
Phone (212) 249-2808
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 |
|---|---|---|---|
| F304418-1 | NY | MD | Adult Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350864000000",
"number": "1407109879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "440 E 78TH ST",
"address_2": "APT. 4 F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751665",
"telephone_number": "212-249-2808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 E 78TH ST",
"address_2": "APT. 4 F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100751665",
"telephone_number": "212-249-2808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SERDANS",
"first_name": "REBECCA",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-22",
"last_updated": "2012-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304418-1",
"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 Oct 22, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.