Individual provider Active NPI

Marva J Pow, RN

  • Community Health Registered Nurse
  • Bronx, NY
National Provider Identifier
1609410406
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
593629-1 Issued in NY
Practice address
3644 Harper Ave
Bronx, NY 10466-5907
Phone
(914) 733-5995
NPI assigned
Nov 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 593629-1 NY Primary

Addresses

Primary practice location

3644 Harper Ave
Bronx, NY 10466-5907

Mailing address

6 Gramatan Ave Ste 506
Mount Vernon, NY 10550-3208
Phone (914) 733-5995

Other identifiers 1

IdentifierTypeStateIssuer
593629-1OtherNYREGISTERED NURSE

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
593629-1NYMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Ultimate Dream Homecare Agency LLC. CurrentSince Feb 24, 2022 Accepting new patients

Locations

6 Gramatan Ave
Ste 506
Mount Vernon, NY 10550
Phone (929) 473-4475

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1572912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1609410406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GRAMATAN AVE STE 506",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105503208",
            "telephone_number": "914-733-5995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3644 HARPER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104665907",
            "telephone_number": "914-733-5995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POW",
        "first_name": "MARVA",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-05",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "NY",
            "license": "593629-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "593629-1",
            "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 Feb 15, 2022; 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.