Individual provider Active NPI

Elizabeth Ann Bichara, LPN

  • Licensed Practical Nurse
  • Jersey City, NJ
National Provider Identifier
1497231807
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
331826-1 Issued in NY
Practice address
82 Tuers Ave Apt 2
Jersey City, NJ 07306-3258
Phone
(714) 273-6474
NPI assigned
Jul 18, 2018
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

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 331826-1 NY Primary
Licensed Vocational Nurse 164X00000X 293314 CA

Addresses

Primary practice location

82 Tuers Ave Apt 2
Jersey City, NJ 07306-3258

Mailing address

82 Tuers Ave Apt 2
Jersey City, NJ 07306-3258
Phone (714) 273-6474

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
331826-1NYMDLicensed Practical Nurse
293314CAMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1531872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1497231807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 TUERS AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063258",
            "telephone_number": "714-273-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82 TUERS AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073063258",
            "telephone_number": "714-273-6474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICHARA",
        "first_name": "ELIZABETH ANN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-18",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331826-1",
            "primary": true
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "293314",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jersey City, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; 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.