Djenabou Bah

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

9190L001 Issued in NY

Practice address

391 E 149TH St RM 417
Bronx, NY 10455-3907

Phone

(646) 702-6965

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Djenabou Diallo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1679056642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2024 BENEDICT AVE APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104624427",
            "telephone_number": "646-217-8492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 E 149TH ST RM 417",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104553907",
            "telephone_number": "646-702-6965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAH",
        "first_name": "DJENABOU",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "NY",
            "license": "9190L001",
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NY",
            "license": "K5Q8B9A",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PU90872W",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DJENABOU",
            "last_name": "DIALLO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Baglieri, MD
• Barbara Baglietto Jacquemin, M.D.
• John Baglioni, RD
• Christopher Baglivi, PA
• Binta Bah
• Fatumata Bah I
• Philippe K. Z. Bah, NP
• Zeynep Bahadir, MD
• Nivard Lorrick Bahadur, MD
• Francine Bahati, MSW

• Home Health Aide in Bronx, NY
• Providers in Bronx, NY by specialty
• Home Health Aide in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2018; 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.