Individual provider Active NPI

Munesu Chinhenzva, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1679908776
Registry record updated Apr 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
302509 Issued in NY
Practice address
120 Elgar PL Apt 21H
Bronx, NY 10475-5121
Phone
(347) 275-8098
Fax
(347) 275-8098
NPI assigned
Sep 8, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2019

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 302509 NY Primary

Addresses

Primary practice location

120 Elgar PL Apt 21H
Bronx, NY 10475-5121

Mailing address

120 Elgar PL Apt 21H
Bronx, NY 10475-5121
Phone (631) 457-3613

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
302509NYMDAdult Health Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1378598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556496000000",
    "number": "1679908776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 ELGAR PL APT 21H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755121",
            "telephone_number": "631-457-3613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 ELGAR PL APT 21H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104755121",
            "telephone_number": "347-275-8098",
            "fax_number": "347-275-8098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINHENZVA",
        "first_name": "MUNESU",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-08",
        "last_updated": "2019-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302509",
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Apr 29, 2019; 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.