Individual provider Active NPI

Matida Sylla

  • Nurse's Aide
  • Bronx, NY
National Provider Identifier
1629431515
Registry record updated Mar 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
License
343798350316E Issued in NY
Practice address
1365 Sheridan Ave
Apt 2G
Bronx, NY 10456-8100
Phone
(718) 947-6812
NPI assigned
Mar 30, 2016
Last updated
Mar 30, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse's Aide 376K00000X 343798350316E NY Primary

Addresses

Primary practice location

1365 Sheridan Ave
Apt 2G
Bronx, NY 10456-8100

Mailing address

1365 Sheridan Ave
Apt 2G
Bronx, NY 10456-8100
Phone (718) 947-6812

Other names 1

  • Matida Sylla Professional name

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
343798350316ENYMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459296000000",
    "number": "1629431515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 SHERIDAN AVE",
            "address_2": "APT 2G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104568100",
            "telephone_number": "718-947-6812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1365 SHERIDAN AVE",
            "address_2": "APT 2G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104568100",
            "telephone_number": "718-947-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLLA",
        "first_name": "MATIDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-30",
        "last_updated": "2016-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NY",
            "license": "343798350316E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATIDA",
            "last_name": "SYLLA",
            "credential": "CERTIFIED NURSE ASSI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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 Mar 30, 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.