Individual provider Active NPI

Jatu Yamaloupo Lavelah, GNP

  • Gerontology Registered Nurse
  • Staten Island, NY
National Provider Identifier
1487989703
Registry record updated Oct 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Registered NurseTaxonomy code 163WG0600X
License
F-340752 Issued in NY
Practice address
42 Pelton Ave
Staten Island, NY 10310-1517
Phone
(718) 556-3584
Fax
(718) 556-3584
NPI assigned
Oct 4, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Registered Nurse 163WG0600X F-340752 NY Primary

Addresses

Primary practice location

42 Pelton Ave
Staten Island, NY 10310-1517

Mailing address

42 Pelton Ave
Staten Island, NY 10310-1517
Phone (718) 556-3584

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
F-340752NYMDGerontology Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1254614400000",
    "number": "1487989703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PELTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101517",
            "telephone_number": "718-556-3584",
            "fax_number": "718-556-3584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PELTON AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101517",
            "telephone_number": "718-556-3584",
            "fax_number": "718-556-3584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVELAH",
        "first_name": "JATU",
        "middle_name": "YAMALOUPO",
        "name_prefix": "Mrs.",
        "credential": "GNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-10-04",
        "last_updated": "2009-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Gerontology",
            "state": "NY",
            "license": "F-340752",
            "primary": true
        }
    ],
    "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 Oct 4, 2009; 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.