PRN Professional Registered Nursing P.C.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

8070L001 Issued in NY

Legal business name

PRN PROFESSIONAL REGISTERED NURSING P.C.

Practice address

2451 White Plains Rd
Bronx, NY 10467-8108

Phone

(914) 329-5742

Fax

(888) 411-6002

NPI assigned

Jan 24, 2012

Organization subpart

No

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

Authorized official

Name

Mr. Robert William Manley, R.N.

Title

President

Phone

(914) 329-5742

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1327363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327363200000",
    "number": "1851662712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2451 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "914-329-5742",
            "fax_number": "888-411-6002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2451 WHITE PLAINS RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104678108",
            "telephone_number": "914-329-5742",
            "fax_number": "888-411-6002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRN PROFESSIONAL REGISTERED NURSING P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-24",
        "last_updated": "2012-01-24",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "914-329-5742",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "8070L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE DEPARTMENT OF HEALTH",
            "identifier": "8070L001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2012; 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.