Active NPI
Diangindula Nzuzi, LPN
- Licensed Practical Nurse
- Ny, NY
National Provider Identifier
1992996516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 2368051
- Practice address
- 505 East 120TH Street
Apt 6C
Ny, NY 10035 - Phone
- (212) 410-7042
- NPI assigned
- Aug 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 2368051 | NY | Primary |
Addresses
Primary practice location
505 East 120TH Street
Apt 6C
Ny, NY 10035
Mailing address
97-05 Horace Harding Expy
Apt 1F
Corona, NY 11368
Phone (718) 760-4027
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02110694 | Medicaid | NY |
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 |
|---|---|---|---|
| 2368051 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186531200000",
"number": "1992996516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97-05 HORACE HARDING EXPY",
"address_2": "APT 1F",
"city": "CORONA",
"state": "NY",
"postal_code": "11368",
"telephone_number": "718-760-4027",
"fax_number": "718-271-0685"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 EAST 120TH STREET",
"address_2": "APT 6C",
"city": "NY",
"state": "NY",
"postal_code": "10035",
"telephone_number": "212-410-7042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NZUZI",
"first_name": "DIANGINDULA",
"name_prefix": "Miss",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-08-08",
"last_updated": "2007-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "2368051",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02110694",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ny, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.