Fatima Jumawan Mendoza Agour, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

266614-01 Issued in NY

Practice address

8401 Main St Apt 230
Briarwood, NY 11435-1713

Phone

(347) 836-3960

NPI assigned

Dec 11, 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

Other names 1

• Fatima J Mendoza Agour Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607644800000",
    "number": "1427654680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8401 MAIN ST APT 230",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351713",
            "telephone_number": "347-836-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8401 MAIN ST APT 230",
            "city": "BRIARWOOD",
            "state": "NY",
            "postal_code": "114351713",
            "telephone_number": "347-836-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA AGOUR",
        "first_name": "FATIMA",
        "middle_name": "JUMAWAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-11",
        "last_updated": "2020-12-11",
        "certification_date": "2020-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "266614-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FATIMA",
            "last_name": "MENDOZA AGOUR",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ashok Marulappa Mavinakere, MS-CCC/SLP
• Ian J McDonald
• Medical Care of Ny PC
• Medical Choice and Options PC
• Sarah Colleen Mejia
• Michael Kaplowitz, M.D., P.C.
• MLS Medical Services, P.C.
• Agnes Am Nadrag
• Latchmi D Nagaswar, NP-C
• Tiffany Narain, PSYD

• Licensed Practical Nurse in Briarwood, NY
• Providers in Briarwood, 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 Dec 11, 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.