Organization Active NPI

D'Souza & Wilensky, Apmc

  • Specialist
  • Kenner, LA
National Provider Identifier
1437228442
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
D'SOUZA & WILENSKY, APMC
Practice address
200 W Esplanade Ave
Suite 401
Kenner, LA 70065-2489
Phone
(504) 464-8612
Fax
(504) 464-8610
NPI assigned
Nov 6, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Terence C. D'Souza, M.D.
Title
President
Phone
(504) 464-8612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

200 W Esplanade Ave
Suite 401
Kenner, LA 70065-2489

Mailing address

200 W Esplanade Ave Ste 401
Kenner, LA 70065-2475
Phone (504) 464-8612

Other identifiers 1

IdentifierTypeStateIssuer
1796816MedicaidLA

National Provider Directory

National Provider Directory

Locations

200 W Esplanade Ave
Ste 401
Kenner, LA 70065
Phone (504) 464-8612

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437228442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE STE 401",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652475",
            "telephone_number": "504-464-8612",
            "fax_number": "504-464-8610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ESPLANADE AVE",
            "address_2": "SUITE 401",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700652489",
            "telephone_number": "504-464-8612",
            "fax_number": "504-464-8610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "D'SOUZA & WILENSKY, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "D'SOUZA",
        "authorized_official_first_name": "TERENCE",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "504-464-8612",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1796816",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenner, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.