Evelyn Egberongbe, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

310299 Issued in NY

Practice address

125 Beach 17TH St
Apt 11a
Far Rockaway, NY 11691-4510

Phone

(516) 451-7840

NPI assigned

Aug 30, 2012

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

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420156800000",
    "number": "1447509971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 BEACH 17TH ST",
            "address_2": "APT 11A",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914510",
            "telephone_number": "516-451-7840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BEACH 17TH ST",
            "address_2": "APT 11A",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914510",
            "telephone_number": "516-451-7840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGBERONGBE",
        "first_name": "EVELYN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-30",
        "last_updated": "2015-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "310299",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Edelstein
• Rebecca Edelstein, M.S.
• Alison Alexis Edinboro
• Elsie T Edme
• Barbara Lanelle Edwards, MSW
• Rosemary Eghaghe
• Sheyna Yehudis Ehrenreich, MSED
• Marsha Eisen
• Sara Eisenberger, LMHC
• Corinne R. Eisner, LCSW

• Licensed Practical Nurse in Far Rockaway, NY
• Providers in Far Rockaway, 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 Jan 2, 2015; 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.