Individual provider Active NPI

Angela Emokpae

  • Licensed Practical Nurse
  • Bay Shore, NY
National Provider Identifier
1568925667
Registry record updated Apr 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
333356 Issued in NY
Practice address
5 Rosewood PL
Bay Shore, NY 11706-2405
Phone
(203) 568-4975
NPI assigned
Apr 8, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 333356 NY Primary

Addresses

Primary practice location

5 Rosewood PL
Bay Shore, NY 11706-2405

Mailing address

5 Rosewood PL
Bay Shore, NY 11706-2405
Phone (203) 568-4975

Other practice location 1

5 Rosewood Pl
Bay Shore, NY 11706-2405
Phone (203) 568-4975

Other practice location 2

5 Rosewood Pl
Bay Shore, NY 11706-2405
Phone (203) 568-4975

Other practice location 3

5 Rosewood Pl
Bay Shore, NY 11706-2405
Phone (203) 568-4975

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
333356NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1554681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1568925667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 ROSEWOOD PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062405",
            "telephone_number": "203-568-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 ROSEWOOD PL",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117062405",
            "telephone_number": "203-568-4975"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Rosewood Pl",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117062405",
            "country_code": "US",
            "telephone_number": "203-568-4975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Rosewood Pl",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117062405",
            "country_code": "US",
            "telephone_number": "203-568-4975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5 Rosewood Pl",
            "address_purpose": "LOCATION",
            "city": "Bay Shore",
            "state": "NY",
            "postal_code": "117062405",
            "country_code": "US",
            "telephone_number": "203-568-4975",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EMOKPAE",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-08",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "333356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2019; 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.