Ibrahima Sory Kake

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

729172 Issued in NY

Practice address

14202 20TH Ave
Flushing, NY 11351-3000

Phone

(718) 559-0516

NPI assigned

May 24, 2017

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

State licenses

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1942738653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 WALTON AVE # G",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104687158",
            "telephone_number": "347-727-3840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14202 20TH AVE",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113513000",
            "telephone_number": "718-559-0516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAKE",
        "first_name": "IBRAHIMA",
        "middle_name": "SORY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "729172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kai Jing Mai OD PLLC
• Kai Wing Wai, O.D., PLLC
• Kaijun Huang MD PLLC
• Agmar Kaiyrgazy, MS, RD
• Marina Kajic, RD
• Diana Kalantarova
• Katerina Kalantarova, OTR/L
• Nadezhda Kalantarova, O.D.
• Yegeniya Kalendarev
• Victoria Kalesis, RD, CDCES

• Registered Nurse in Flushing, NY
• Providers in Flushing, 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 Jun 16, 2018; 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.