Individual provider Active NPI

Julius Adjei-Poku, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1487953568
Registry record updated Jun 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
304784 Issued in NY
Practice address
224 E 165TH St
Apt-4B
Bronx, NY 10456-6029
Phone
(347) 579-5886
NPI assigned
Mar 15, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 304784 NY Primary

Addresses

Primary practice location

224 E 165TH St
Apt-4B
Bronx, NY 10456-6029

Mailing address

224 E 165TH St
Apt-4B
Bronx, NY 10456-6029
Phone (347) 579-5886

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
304784NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1300147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307059200000",
    "number": "1487953568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 E 165TH ST",
            "address_2": "APT-4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566029",
            "telephone_number": "347-579-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 E 165TH ST",
            "address_2": "APT-4B",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104566029",
            "telephone_number": "347-579-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADJEI-POKU",
        "first_name": "JULIUS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-15",
        "last_updated": "2011-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2011; 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.