Keyla Mogrovejo

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

291566-1 Issued in NY

Practice address

128 E Hudson St
Long Beach, NY 11561-2129

Phone

(516) 425-3758

NPI assigned

Oct 27, 2016

Last updated

Oct 27, 2016By 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 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": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477526400000",
    "number": "1699227421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 E HUDSON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612129",
            "telephone_number": "516-425-3758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 E HUDSON ST",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115612129",
            "telephone_number": "516-425-3758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOGROVEJO",
        "first_name": "KEYLA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2016-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "291566-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MJS Child Devleopment Specialist Inc.
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• Irien Moawad, RPH
• Kathleen Molesphini, MS
• Michelle Monaghan, PA
• Alicia Mondeau
• Elena Catherine Montemurro, LMSW
• Kathleen Moore

• Licensed Practical Nurse in Long Beach, NY
• Providers in Long Beach, 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 Oct 27, 2016; 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.