Active NPI
Philip Thankgod Patrick
- Licensed Practical Nurse
- Bronx, NY
National Provider Identifier
1972829083
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 299181
- Practice address
- 875 Boynton Ave
Apt 5I
Bronx, NY 10473-4750 - Phone
- (347) 598-5893
- NPI assigned
- Apr 14, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 299181 | NY | Primary |
Addresses
Primary practice location
875 Boynton Ave
Apt 5I
Bronx, NY 10473-4750
Mailing address
875 Boynton Ave
Apt 5I
Bronx, NY 10473-4750
Phone (347) 598-5893
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299181 | NY | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1972829083",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "875 BOYNTON AVE",
"address_2": "APT 5I",
"city": "BRONX",
"state": "NY",
"postal_code": "104734750",
"telephone_number": "347-598-5893"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "875 BOYNTON AVE",
"address_2": "APT 5I",
"city": "BRONX",
"state": "NY",
"postal_code": "104734750",
"telephone_number": "347-598-5893"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATRICK",
"first_name": "PHILIP",
"middle_name": "THANKGOD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-14",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "299181",
"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 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.