Individual provider Active NPI

Paula Pamella Gilfillian, LPN

  • Licensed Practical Nurse
  • Bronx, NY
National Provider Identifier
1740683986
Registry record updated Oct 2, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
318410-1 Issued in NY
Practice address
814 Tilden St # a
Apt 4D
Bronx, NY 10467-6027
Phone
(347) 595-4572
NPI assigned
Oct 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 318410-1 NY Primary

Addresses

Primary practice location

814 Tilden St # a
Apt 4D
Bronx, NY 10467-6027

Mailing address

814 A Tilden St.
Apt 4D
Bronx, NY 10467
Phone (347) 595-4572

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

LicenseStateTypeSpecialty
318410-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1412208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1740683986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 A TILDEN ST.",
            "address_2": "APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "347-595-4572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 TILDEN ST # A",
            "address_2": "APT 4D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104676027",
            "telephone_number": "347-595-4572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILFILLIAN",
        "first_name": "PAULA",
        "middle_name": "PAMELLA",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-02",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "318410-1",
            "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 2, 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.

Verify at the official NPI Registry.