Linda Elena Dallam, NP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

340025 Issued in NY

Practice address

111 E 210TH St
Deod
Bronx, NY 10467-2401

Phone

(718) 920-6212

Fax

(718) 324-4246

NPI assigned

Dec 8, 2006

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Montefiore Medical Center

  • Anesthesiology Physician
  • Bronx, NY
  • NPI 1063525152
  NPD (past)
• Montefiore Mount Vernon Hospital

  • General Acute Care Hospital
  • Mount Vernon, NY
  • NPI 1013345065
  NPD (past)

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700945490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "679 W 239TH ST",
            "address_2": "UNIT 4J",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104631258",
            "telephone_number": "718-601-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "DEOD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-6212",
            "fax_number": "718-324-4246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLAM",
        "first_name": "LINDA",
        "middle_name": "ELENA",
        "name_prefix": "Ms.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NY",
            "license": "340025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teina Corine Daley, OTR/L, OTD, CHT
• Teshna A Daley, LPN
• Thomas Daley, MD
• Annette Louise Dalezman
• Emad Eddin Dalla
• Linda J Dalland, RNP
• Marise Dalmacy
• Sheneka Dalmage, NP
• Samantha Dalmas, MS CCC-SLP
• Anecine Dalmeus

• Gerontology Nurse Practitioner in Bronx, NY
• Providers in Bronx, NY by specialty
• Gerontology Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.