Active NPI
Richard K Adobor
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1699179234
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 319810
- Practice address
- 1154 E. 229TH STR. Dr. S. Apt. 9D
Bronx, NY 10466 - Phone
- (347) 334-8709
- NPI assigned
- Oct 10, 2014
- Last updated
- Oct 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 319810 | NY | Primary |
Addresses
Primary practice location
1154 E. 229TH STR. Dr. S. Apt. 9D
Bronx, NY 10466
Mailing address
1154 East 229TH Street Drive South Apt 9D
Bronx, NY 10466
Phone (347) 334-8709
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
| License | State | Type | Specialty |
|---|---|---|---|
| 319810 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412899200000",
"number": "1699179234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1154 EAST 229TH STREET DRIVE SOUTH APT 9D",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "347-334-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1154 E. 229TH STR. DR. S. APT. 9D",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "347-334-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADOBOR",
"first_name": "RICHARD",
"middle_name": "K",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-10-10",
"last_updated": "2014-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "319810",
"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 Oct 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.