Asiya Abdur-Rasheed, LPN
Individual provider Active NPI Licensed Practical Nurse · Medford, NY
NPI 1487432209 · NPPES record last updated Sep 21, 2023
Key facts
- NPI
- 1487432209
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 34830501 (NY)
- Practice address
- 192 Kettles LN
Medford, NY 11763-1551 - Phone
- (631) 388-4240
- NPI assigned
- Sep 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34830501 | NY | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 34830501 | NY | Yes |
Addresses
Primary practice location
192 Kettles LN
Medford, NY 11763-1551
Mailing address
192 Kettles LN
Medford, NY 11763-1551
Other providers in Medford, NY
- 2ND Medical Pros
- 495 Chiropractic, PC
- Abdul-Rahman Abdur-Rasheed
- Anteja Acevedo
- Sharon Acosta
- Melanie Adamo
- Rachael Adejaiye
- Isaiah Akinola Adejare
All providers in Medford, NY · Licensed Practical Nurse in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.