Individual provider Active NPI

Amanda Erhabor, LPN

  • Licensed Practical Nurse
  • New York, NY
National Provider Identifier
1427484070
Registry record updated Sep 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
314899 Issued in NY
Practice address
1 Whitehall St
9TH. Foor
New York, NY 10004-2109
Phone
(212) 741-0100
NPI assigned
Sep 15, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 314899 NY Primary

Addresses

Primary practice location

1 Whitehall St
9TH. Foor
New York, NY 10004-2109

Mailing address

915 Castleton Ave
Staten Island, NY 10310-1812
Phone (347) 577-3696

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
314899NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1379203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379203200000",
    "number": "1427484070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 CASTLETON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101812",
            "telephone_number": "347-577-3696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WHITEHALL ST",
            "address_2": "9TH. FOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100042109",
            "telephone_number": "212-741-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERHABOR",
        "first_name": "AMANDA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-15",
        "last_updated": "2013-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314899",
            "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 Sep 15, 2013; 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.