Opal M Bandoo

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

114 Vista Place
2ND FL
Mount Vernon, NY 10550

Phone

(917) 456-6089

NPI assigned

Apr 1, 2013

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1364774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364774400000",
    "number": "1710220462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VISTA PL",
            "address_2": "2ND FL",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "105502712",
            "telephone_number": "917-456-6089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 VISTA PLACE",
            "address_2": "2ND FL",
            "city": "MOUNT VERNON",
            "state": "NY",
            "postal_code": "10550",
            "telephone_number": "917-456-6089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANDOO",
        "first_name": "OPAL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-01",
        "last_updated": "2013-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alecia DT Bailey-Wilson, NP
• Ilone Bajjo
• Carol Baker, LPN
• Pilar Baker
• Ronald Baker Jr., RN
• Cassandra Bannerman
• Andrea Barham, NURSE, LPN
• Jermaine Theodore Barker, LMT
• Patricia Barnes, RN
• Joeanna-Marie Barnett

• Case Manager/Care Coordinator in Mount Vernon, NY
• Providers in Mount Vernon, NY by specialty
• Case Manager/Care Coordinator in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2013; 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.