Individual provider Active NPI

Tenzin Deckyi

  • Registered Nurse
  • Elmhurst, NY
National Provider Identifier
1639615602
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
715516 Issued in NY
Practice address
5478 83Rd St
Elmhurst, NY 11373-4724
Phone
(929) 301-0561
NPI assigned
Jan 13, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 715516 NY Primary

Addresses

Primary practice location

5478 83Rd St
Elmhurst, NY 11373-4724

Mailing address

5478 83Rd St
Elmhurst, NY 11373-4724
Phone (929) 301-0561

Other names 1

  • Tenzin Deckyi Other 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
715516NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1484265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1639615602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5478 83RD ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734724",
            "telephone_number": "929-301-0561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5478 83RD ST",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734724",
            "telephone_number": "929-301-0561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECKYI",
        "first_name": "TENZIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-13",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "715516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TENZIN",
            "last_name": "DECKYI",
            "credential": "RN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2017; 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.