Madonna Waite-Bailey

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

339036 Issued in NY

Practice address

25 Chapel St Ste 903
Brooklyn, NY 11201-1916

Phone

(718) 875-7510

Fax

(718) 858-8410

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Guidance Center of Brooklyn, Inc.

  • Community/Behavioral Health Agency
  • Brooklyn, NY
  • NPI 1295868271
  NPD

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

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1417564774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12311 SUTPHIN BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114342336",
            "telephone_number": "929-389-9608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 CHAPEL ST STE 903",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011916",
            "telephone_number": "718-875-7510",
            "fax_number": "718-858-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAITE-BAILEY",
        "first_name": "MADONNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "339036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myriam Wainwright
• Noam May Waisbrod
• Tali Waisman, MSED
• Brendal Waiss, O.D.
• Samuel Waiss, D.P.M.
• Yvette Waite-Thompson
• Alrie Oconner Waite, OTR
• Christina Ann Waite, RN
• Richard Allen Waite
• Sharon Doris Waite, RN

• Licensed Practical Nurse in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.