Individual provider Active NPI

Randy Delandro, LPN

  • Licensed Practical Nurse
  • Brooklyn, NY
National Provider Identifier
1639358781
Registry record updated May 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
276207-1 Issued in NY
Practice address
672 E 81St St
Brooklyn, NY 11236-3304
Phone
(347) 885-9572
Fax
(718) 647-7920
NPI assigned
Oct 25, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 7, 2010

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 276207-1 NY Primary

Addresses

Primary practice location

672 E 81St St
Brooklyn, NY 11236-3304

Mailing address

672 E 81St St
Brooklyn, NY 11236-3304
Phone (347) 885-9572

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
276207-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1193270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273190400000",
    "number": "1639358781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "672 E 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363304",
            "telephone_number": "347-885-9572",
            "fax_number": "718-647-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "672 E 81ST ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112363304",
            "telephone_number": "347-885-9572",
            "fax_number": "718-647-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELANDRO",
        "first_name": "RANDY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-25",
        "last_updated": "2010-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "276207-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2010; 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.