Individual provider Active NPI

Jean Paul Sanon, LPN

  • Licensed Practical Nurse
  • Laurelton, NY
National Provider Identifier
1427343771
Registry record updated Sep 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
292613-1 Issued in NY
Practice address
13721 218TH St
PH
Laurelton, NY 11413-2228
Phone
(516) 581-5591
NPI assigned
Jun 15, 2011
Last updated
Sep 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 668095 NY
Licensed Practical Nurse 164W00000X 292613-1 NY Primary

Addresses

Primary practice location

13721 218TH St
PH
Laurelton, NY 11413-2228

Mailing address

13721 218TH St
PH
Laurelton, NY 11413-2228
Phone (516) 581-5591

Other practice location 1

14 Martin St
Massapequa, NY 11758-3731
Phone (516) 581-5591

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

LicenseStateTypeSpecialty
668095NYMDRegistered Nurse
292613-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694304000000",
    "number": "1427343771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13721 218TH ST",
            "address_2": "PH",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132228",
            "telephone_number": "516-581-5591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13721 218TH ST",
            "address_2": "PH",
            "city": "LAURELTON",
            "state": "NY",
            "postal_code": "114132228",
            "telephone_number": "516-581-5591"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14 Martin St",
            "address_purpose": "LOCATION",
            "city": "Massapequa",
            "state": "NY",
            "postal_code": "117583731",
            "country_code": "US",
            "telephone_number": "516-581-5591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANON",
        "first_name": "JEAN",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-15",
        "last_updated": "2023-09-10",
        "certification_date": "2023-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "668095",
            "primary": false
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292613-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurelton, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2023; 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.