Marie Vanita Alexandre, LPN

Key facts

NPI

1902386667

Entity type

Individual (NPI type 1)

Primary specialty

Licensed Practical Nurse 164W00000X

License

259542 (NY)

Practice address

134 Fallon Ave
Elmont, NY 11003-3610

Phone

(516) 725-0569

NPI assigned

Aug 21, 2018

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 21, 2018.

{
    "created_epoch": "1534809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534809600000",
    "number": "1902386667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 FALLON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033610",
            "telephone_number": "516-725-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 FALLON AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110033610",
            "telephone_number": "516-725-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEXANDRE",
        "first_name": "MARIE",
        "middle_name": "VANITA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-21",
        "last_updated": "2018-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "259542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

• Iyinola Oluwayemisi Ajayi-Otukoya, RN
• Jocelyne Alcinay
• Alex Dompreh, LLC Health Practice
• Lintta Alex
• Priscilla Dale Alexander, LPN
• Monique Alexandre, RN
• Agnes Alexis
• Kathuscia Beauvais Alexis, FNP
• Hellena Alflalo, REGISTRED NURSE
• Allied Medix Resources, Inc.

All providers in Elmont, NY · Licensed Practical Nurse in New York