Ivan Aldo Medrano, LMSW

Primary specialty

Local Education Agency (LEA)Taxonomy code 251300000X

License

0931321 Issued in NY

Practice address

8212 151St Ave
Howard Beach, NY 11414-1793

Phone

(718) 848-0300

Fax

(718) 835-2862

NPI assigned

Oct 7, 2014

Sex

Male

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

State licenses

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

{
    "created_epoch": "1412640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412640000000",
    "number": "1790188647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8212 151ST AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141793",
            "telephone_number": "718-848-0300",
            "fax_number": "718-835-2862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8212 151ST AVE",
            "city": "HOWARD BEACH",
            "state": "NY",
            "postal_code": "114141793",
            "telephone_number": "718-848-0300",
            "fax_number": "718-835-2862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDRANO",
        "first_name": "IVAN",
        "middle_name": "ALDO",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-07",
        "last_updated": "2014-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": "NY",
            "license": "0931321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Anna McKenzie, R.N.
• Leeat Medalion-Yaloz, OTR/L
• Medical Care of Ny, P.C.
• Medical Office of Howard Beach
• Medical Office of Howard Beach, PC
• Mansi Mehta
• Ying Ying Mei
• Robert Melo, D.C.
• Schandel Ann Meshman, T.S.H.H, MSED
• Jaime Messineo-Figueroa, M.S

• Local Education Agency (LEA) in Howard Beach, NY
• Providers in Howard Beach, NY by specialty
• Local Education Agency (LEA) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 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.