Glenda Eileen Sepulveda, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

270041-1 Issued in NY

Practice address

555 Chestnut Ridge Rd
Woodcliff Lake, NJ 07677-8417

Phone

(201) 391-0900

NPI assigned

Jan 7, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452124800000",
    "number": "1518323401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 COUNTRY CLUB LN",
            "city": "POMONA",
            "state": "NY",
            "postal_code": "109702557",
            "telephone_number": "845-309-0647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 CHESTNUT RIDGE RD",
            "city": "WOODCLIFF LAKE",
            "state": "NJ",
            "postal_code": "076778417",
            "telephone_number": "201-391-0900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEPULVEDA",
        "first_name": "GLENDA",
        "middle_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2016-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "270041-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark F. Samani, D.M.D.
• Laurie Schlussel, RD
• Ruth J Schulze, MD
• Judith Schuster, RNC, IBCLC
• Samantha Maria Sendawy, LAC, NCC
• Kristin Sharma, PH.D.
• Joseph Siragusa, M.D.
• Melissa Siragusa, LPC, NCC
• Gail M. Sobel, M.D.
• Samiris Sostre, M.D.

• Licensed Practical Nurse in Woodcliff Lake, NJ
• Providers in Woodcliff Lake, NJ by specialty
• Licensed Practical Nurse in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.