Lilibeth S Pradhanang

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

26NJ00639800 Issued in NJ

Practice address

714 10TH St
Secaucus, NJ 07094-2921

Phone

(551) 257-7038

Fax

(201) 552-2358

NPI assigned

Jul 5, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Lilibeth Sembrano Pradhanang Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1609228576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BENTON RD",
            "city": "PARAMUS",
            "state": "NJ",
            "postal_code": "076522106",
            "telephone_number": "201-414-7423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 10TH ST",
            "city": "SECAUCUS",
            "state": "NJ",
            "postal_code": "070942921",
            "telephone_number": "551-257-7038",
            "fax_number": "201-552-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRADHANANG",
        "first_name": "LILIBETH",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-05",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NJ",
            "license": "26NJ00639800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LILIBETH",
            "last_name": "PRADHANANG",
            "middle_name": "SEMBRANO",
            "prefix": "MRS.",
            "credential": "APN-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Platinum Health & Wellness
• Melissa D Podeia
• Yoxandry Polanco Corporan, MSN, FNP-C
• Amelie Sophia Polanco, NP
• Archana Vasudeo Prabhu, PT
• Precious Crown Home Health
• Precision Medical Monitoring PC
• Premier Anesthesia Associates PA
• Prime Diagnosis Medical P.a.
• Professional Occupational & Physical Therapy, PLLC

• Gerontology Nurse Practitioner in Secaucus, NJ
• Providers in Secaucus, NJ by specialty
• Gerontology Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 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.