Active NPI
Yetunde Bandele
- Physical Therapist
- Bronx, NY
National Provider Identifier
1851538532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 030585
- Practice address
- 245 E 149TH St
Bronx, NY 10451-5516 - Phone
- (718) 665-7565
- NPI assigned
- Jan 16, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 030585 | NY | Primary |
Addresses
Primary practice location
245 E 149TH St
Bronx, NY 10451-5516
Mailing address
55 Manor Dr
#14-O
Newark, NJ 07106-3279
Phone (973) 230-8503
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030585 | NY | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1232064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232064000000",
"number": "1851538532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 MANOR DR",
"address_2": "#14-O",
"city": "NEWARK",
"state": "NJ",
"postal_code": "071063279",
"telephone_number": "973-230-8503"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 E 149TH ST",
"city": "BRONX",
"state": "NY",
"postal_code": "104515516",
"telephone_number": "718-665-7565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BANDELE",
"first_name": "YETUNDE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-16",
"last_updated": "2009-01-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "030585",
"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 Jan 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.