Active NPI
Demetrice Royal
- Registered Nurse
- Yonkers, NY
National Provider Identifier
1437725074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 792240
- Practice address
- 205 Park Hill Ave
Yonkers, NY 10705-1421 - Phone
- (504) 255-4077
- NPI assigned
- Jun 3, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 792240 | NY | Primary |
Addresses
Primary practice location
205 Park Hill Ave
Yonkers, NY 10705-1421
Mailing address
205 Park Hill Ave
Yonkers, NY 10705-1421
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79220 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 792240 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622678400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622678400000",
"number": "1437725074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 PARK HILL AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107051421"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 PARK HILL AVE",
"city": "YONKERS",
"state": "NY",
"postal_code": "107051421",
"telephone_number": "504-255-4077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROYAL",
"first_name": "DEMETRICE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-03",
"last_updated": "2021-06-03",
"certification_date": "2021-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "792240",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "79220",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.