Organization Active NPI

Sandra Oppong

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1508228511
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
Legal business name
SANDRA OPPONG
Practice address
2004 Lafontaine Ave
Floor 3
Bronx, NY 10457-4700
Phone
(646) 359-3998
NPI assigned
Mar 28, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Authorized official

Name
Sandra Konadu Oppong
Title
Registered Nurse
Phone
(646) 359-3998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163W00000X NY Primary

Addresses

Primary practice location

2004 Lafontaine Ave
Floor 3
Bronx, NY 10457-4700

Mailing address

2004 Lafontaine Ave
Floor 3
Bronx, NY 10457-4700
Phone (646) 359-3998

Other identifiers 1

IdentifierTypeStateIssuer
AC0003111845MedicaidNY

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459123200000",
    "number": "1508228511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2004 LAFONTAINE AVE",
            "address_2": "FLOOR 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574700",
            "telephone_number": "646-359-3998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2004 LAFONTAINE AVE",
            "address_2": "FLOOR 3",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104574700",
            "telephone_number": "646-359-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANDRA OPPONG",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-28",
        "last_updated": "2016-03-28",
        "status": "A",
        "authorized_official_last_name": "OPPONG",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_middle_name": "KONADU",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "646-359-3998"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AC0003111845",
            "state": "NY"
        }
    ],
    "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 Mar 28, 2016; 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.