Formin Asonganyi

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

290138-1 Issued in NY

Practice address

337 West Clarkstown Rd
New City, NY 10956

Phone

(845) 269-5201

NPI assigned

Mar 1, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1330560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330560000000",
    "number": "1699049197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 W CLARKSTOWN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109567126",
            "telephone_number": "845-269-5201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 WEST CLARKSTOWN RD",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "10956",
            "telephone_number": "845-269-5201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASONGANYI",
        "first_name": "FORMIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-01",
        "last_updated": "2012-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "290138-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alvin Kenneth Aronoff, DDS
• Arthritis of Cornwall PLLC
• Natalia Artimova, DMD
• Suresh C Arya, LCSW
• Kelly Askew
• Brooke Lauren Atzl, RN
• Linda Atzl
• Todd Auerbach, D.M.D.
• Sara Aufgang
• Carissa Aurellano, OTR

• Licensed Practical Nurse in New City, NY
• Providers in New City, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2012; 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.