Active NPI
Marva J Pow, RN
- Community Health Registered Nurse
- Bronx, NY
National Provider Identifier
1609410406
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Registered Nurse
- License
- 593629-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 593629-1 | Other | NY | REGISTERED 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
| License | State | Type | Specialty |
|---|---|---|---|
| 593629-1 | NY | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ultimate Dream Homecare Agency LLC. | Current | 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.
-
- Home Health Agency
- Mount Vernon, NY
- NPI 1750036299
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.