Nidal Isa

Primary specialty

Personal Care AttendantTaxonomy code 3747P1801X

License

123456 Issued in NY

Practice address

31 Riverview PL
Yonkers, NY 10701-3405

Phone

(914) 354-4975

NPI assigned

Jun 19, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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": "1560902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560902400000",
    "number": "1831759182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SCHOOLHOUSE RD",
            "city": "WACCABUC",
            "state": "NY",
            "postal_code": "105971112",
            "telephone_number": "914-354-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 RIVERVIEW PL",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107013405",
            "telephone_number": "914-354-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISA",
        "first_name": "NIDAL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-19",
        "last_updated": "2019-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NY",
            "license": "123456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "buzz",
            "affiliation": "N",
            "endpointDescription": "buzz",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "31 Riverview Pl",
            "city": "Yonkers",
            "state": "NY",
            "country_code": "US",
            "postal_code": "107013405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• All providers in Yonkers, NY
• Personal Care Attendant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2019; 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.