Individual provider Active NPI

Ebenezer Peprah

  • Personal Emergency Response Attendant
  • Bronx, NY
National Provider Identifier
1558693135
Registry record updated Feb 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Emergency Response AttendantTaxonomy code 146D00000X
License
259140318 Issued in NY
Practice address
1850 Lafayette Avenue
, Apt#20G
Bronx, NY 10473
Phone
(347) 591-0149
NPI assigned
Feb 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2010

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 259140318 NY
Personal Emergency Response Attendant 146D00000X 259140318 NY Primary
Pediatric Optometrist 152WP0200X 259140318 NY
Student in an Organized Health Care Education/Training Program 390200000X 259140318 NY

Addresses

Primary practice location

1850 Lafayette Avenue
, Apt#20G
Bronx, NY 10473

Mailing address

1850 Lafayette Ave
#20G
Bronx, NY 10473-2858
Phone (347) 591-0149

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
259140318NYMDPersonal Emergency Response Attendant

NPI Registry JSON

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

{
    "created_epoch": "1265328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265328000000",
    "number": "1558693135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 LAFAYETTE AVE",
            "address_2": "#20G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104732858",
            "telephone_number": "347-591-0149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 LAFAYETTE AVENUE",
            "address_2": ", APT#20G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10473",
            "telephone_number": "347-591-0149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPRAH",
        "first_name": "EBENEZER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-05",
        "last_updated": "2010-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "259140318",
            "primary": false
        },
        {
            "code": "146D00000X",
            "taxonomy_group": "",
            "desc": "Personal Emergency Response Attendant",
            "state": "NY",
            "license": "259140318",
            "primary": true
        },
        {
            "code": "152WP0200X",
            "taxonomy_group": "",
            "desc": "Optometrist, Pediatrics",
            "state": "NY",
            "license": "259140318",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "259140318",
            "primary": false
        }
    ],
    "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 Feb 5, 2010; 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.