Samwel Gitonga

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

26NP06385200 Issued in NJ

Practice address

304 Pershing Avenue
Carteret, NJ 07008

Phone

(848) 203-8264

NPI assigned

Sep 1, 2016

Sex

Female

Sole proprietor

Yes

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

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.

• N/a

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Carteret, NJ
  • NPI 1205557790
  NPD Authorized official

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472688000000",
    "number": "1427505965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 PERSHING AVE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "070083025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 PERSHING AVENUE",
            "city": "CARTERET",
            "state": "NJ",
            "postal_code": "07008",
            "telephone_number": "848-203-8264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GITONGA",
        "first_name": "SAMWEL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2016-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06385200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Etab Behavioral Health Services
• Feel at Home Adult Day Care Center
• Foot Care of New Jersey LLC
• Chetna Gangwani, PHARMD
• Garry G. Yee, DDS, PA
• Eric Scott Glickman, D.C.
• Mark Goldfarb, D.C.
• Goldminerz Home Care LLC
• Sukhjender S Goraya, M.D
• Dhara Himanshu Gunderia, PHARMD

• Licensed Practical Nurse in Carteret, NJ
• Providers in Carteret, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.

Verify at the official NPI Registry.