Freud O Ajax, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

568837 Issued in NY

Practice address

50 Broadway
Lynbrook, NY 11563-2519

Phone

(516) 887-1200

Fax

(516) 593-2848

NPI assigned

Jul 30, 2008

Last updated

Jul 30, 2008By the provider in NPPES

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217376000000",
    "number": "1891951869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18904 64TH AVE",
            "address_2": "2C",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113653854",
            "telephone_number": "718-577-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-887-1200",
            "fax_number": "516-593-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AJAX",
        "first_name": "FREUD",
        "middle_name": "O",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-30",
        "last_updated": "2008-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "568837",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2008; 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.