Aisha Z. Formentera, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

790579 Issued in NY

Practice address

700 Lenox Ave Apt 11E
New York, NY 10039-4530

Phone

(347) 282-3251

NPI assigned

Jun 3, 2020

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1699399832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 LENOX AVE APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100394530",
            "telephone_number": "347-282-3251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 LENOX AVE APT 11E",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100394530",
            "telephone_number": "347-282-3251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FORMENTERA",
        "first_name": "AISHA",
        "middle_name": "Z.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-03",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "790579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robin Nancy Forman, PH.D.
• Tamar Forman, GENETIC COUNSELOR
• Samuel Austin Formanek
• Karen Formato, MS, RD, CDN
• Forme Dental PLLC
• Silvia C. Formenti, M.D.
• Michael Pasquale Formica, PA
• Formosa Physical Therapy PC
• Victoria Rose Formosa, LMSW
• Formoso Dental PC

• Registered Nurse in New York, NY
• Providers in New York, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2020; 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.