Individual provider Active NPI

Esohe Noruwa

  • Licensed Practical Nurse
  • Staten Island, NY
National Provider Identifier
1447631197
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
320635-1 Issued in NY
Practice address
34 Beach St
Staten Island, NY 10304-2702
Phone
(718) 815-8089
Fax
(718) 815-8062
NPI assigned
Jun 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 320635-1 NY Primary
Licensed Practical Nurse 164W00000X 164W000000X NY

Addresses

Primary practice location

34 Beach St
Staten Island, NY 10304-2702

Mailing address

34 Beach St
Staten Island, NY 10304-2702
Phone (718) 815-8089

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

LicenseStateTypeSpecialty
164W000000XNYMDLicensed Practical Nurse
320635-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1447631197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 BEACH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042702",
            "telephone_number": "718-815-8089",
            "fax_number": "718-815-8062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 BEACH ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103042702",
            "telephone_number": "718-815-8089",
            "fax_number": "718-815-8062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NORUWA",
        "first_name": "ESOHE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "320635-1",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "164W000000X",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.