Individual provider Active NPI

Rose-Maguy V Chervil

  • Licensed Practical Nurse
  • West New York, NJ
National Provider Identifier
1790146207
Registry record updated Mar 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
293061 Issued in NY
Practice address
6120 Monroe PL Apt 4
West New York, NJ 07093-5465
Phone
(201) 868-4138
NPI assigned
Mar 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2016

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 293061 NY Primary

Addresses

Primary practice location

6120 Monroe PL Apt 4
West New York, NJ 07093-5465

Mailing address

6120 Monroe PL Apt 4
West New York, NJ 07093-5465
Phone (201) 868-4138

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

NPI Registry JSON

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

{
    "created_epoch": "1457568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457568000000",
    "number": "1790146207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6120 MONROE PL APT 4",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935465",
            "telephone_number": "201-868-4138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6120 MONROE PL APT 4",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070935465",
            "telephone_number": "201-868-4138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERVIL",
        "first_name": "ROSE-MAGUY V",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-10",
        "last_updated": "2016-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "293061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.