Sabine Edjenguele

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

421708 Issued in NY

Practice address

18901 Northern Blvd
Flushing, NY 11358-2824

Phone

(917) 410-6905

NPI assigned

Apr 10, 2024

Last updated

May 10, 2024By the provider in NPPES

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

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": "1712707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1437902350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18901 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18901 NORTHERN BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113582824",
            "telephone_number": "917-410-6905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDJENGUELE",
        "first_name": "SABINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-10",
        "last_updated": "2024-05-10",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NY",
            "license": "421708",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eddie Li OD PC
• Jamie Alison Edelstein, M.D.
• Eden Adult Day Care, Inc
• Eden Day Care
• Claire M Eden, MD
• Patricia Edmondson
• Edward E. Lee,MD, PC
• Edward M. Ha, M.D., P.C.
• Edward Pineles, M.D., P.C.
• Edward S Bennett MD PLLC

• Women's Health Nurse Practitioner in Flushing, NY
• Providers in Flushing, NY by specialty
• Women's Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.