ANTHONIA AJIMAVO (NPI# 1114309283) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114309283 |
| Entity Type | Individual |
| Full Name | ANTHONIA AJIMAVO |
| Credential | NP |
| Practice Address |
2604 3rd Ave Bronx NY 10454-1199 |
| Practice Telephone | 7182920100 |
| Mailing Telephone | 7182920100 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2015-06-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
F307288-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2604 3RD AVE |
| City | BRONX |
| State | NY |
| Zip Code | 10454-1199 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417904962 | Monica A Martin | Internal Medicine | 2604 3rd Ave, Bronx, NY 10454-1199 | 2006-05-30 |
| 1952872434 | Sydney Leviton | Social Worker | 2604 3rd Ave, Bronx, NY 10454-1199 | 2018-12-10 |
| 1407355027 | Albert Jose Jimenez Cabrera | Social Worker | 2604 3rd Ave, Bronx, NY 10454 | 2018-02-09 |
| 1568988178 | Stanley Kerznerman | Social Worker | 2604 3rd Ave, Bronx, NY 10454-1199 | 2017-08-15 |
| 1437516614 | Hyesu Shin | Nurse Practitioner | 2604 3rd Ave, Bronx, NY 10454-1199 | 2016-01-19 |
| 1285001669 | Sheryl Anglin | Nurse Practitioner | 2604 3rd Ave, Bronx, NY 10454-1199 | 2015-09-01 |
| 1023485406 | Justine Angol | Nurse Practitioner | 2604 3rd Ave, Bronx, NY 10454-1199 | 2015-09-01 |
| 1780086355 | Nighat Farah Saeed | Internal Medicine | 2604 3rd Ave, Bronx, NY 10454-1199 | 2014-09-25 |
| 1568896678 | Joart Aspera | Physical Therapist | 2604 3rd Ave, Bronx, NY 10454-1199 | 2013-08-26 |
| 1659624302 | Faustina Amponsah | Nurse Practitioner | 2604 3rd Ave, Bronx, NY 10454-1199 | 2012-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679044762 | Roland Koduah | Pharmacist | 537-539 East 138th Street, Bronx, NY 10454 | 2018-12-16 |
| 1407369416 | Noor Kazi LLC | Psychiatry & Neurology | 679 East 138 Street, Bronx, Fl.1, Bronx, NY 10454 | 2017-11-13 |
| 1982122628 | Jacob Mauro Dominguez | Licensed Practical Nurse | 223 Brook Av, Bronx, NY 10454 | 2017-09-01 |
| 1730618182 | Geanell Compton | Speech-Language Pathologist | 345 Brook Avenue, Bronx, NY 10454 | 2017-06-08 |
| 1285084053 | Everlaines Chapman Viltres | Registered Nurse | 426 E 141st St Apt 2, Bronx, NY 10454 | 2016-06-13 |
| 1790154466 | Damian Family Care Centers, Inc. | Clinic/Center | 2604 3rd Avenue, Bronx, NY 10454 | 2015-09-23 |
| 1073904975 | Alexis Acevedo | Counselor | 14 Bruckner Blvd Ste 3e, Bronx, NY 10454 | 2015-02-12 |
| 1609266949 | Andira Pena | Licensed Practical Nurse | 803 East 138th Street, Bronx, NY 10454 | 2015-01-26 |
| 1154675833 | Niki Patel | Occupational Therapist | 468 East 140th Street, Bronx, NY 10454 | 2012-11-02 |
| 1851697395 | New Superior Radio Group, Corp. | Taxi | 133 Lincoln Avenue, Bronx, NY 10454 | 2011-02-01 |
| Find all providers in zip 10454 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770184673 | Annette Virosami | Nurse Practitioner | 890 Trinity Ave Apt 8d, Bronx, NY 10456-7419 | 2020-11-06 |
| 1205449113 | Alexandra Gomez | Nurse Practitioner | 2521 Hone Ave, Bronx, NY 10469-4401 | 2020-08-29 |
| 1457979510 | Judith Brady | Nurse Practitioner | 3240 Paulding Ave, Bronx, NY 10469-3843 | 2020-07-06 |
| 1023650850 | Andrew Lai | Nurse Practitioner | 2736 Independence Ave Apt 5g, Bronx, NY 10463-4655 | 2019-10-14 |
| 1881113652 | Vivian Grace Parham | Nurse Practitioner | 1395 Nelson Ave., 2a, Bronx, NY 10452 | 2017-09-13 |
| 1649794744 | Natasha Ann Pinheiro | Nurse Practitioner | 441 E Fordham Rd Lowr Level, Bronx, NY 10458-5149 | 2017-07-31 |
| 1467984633 | Analiza Benjamin | Nurse Practitioner | 1930 Mulford Ave, Bronx, NY 10461-4009 | 2017-03-28 |
| 1437558244 | Sherin Shijo Zacharias | Nurse Practitioner | Mosholu Medical Group, 5750 Mosholu Ave., Bronx, NY 10471 | 2014-08-18 |
| 1790113355 | Marisa Brown | Nurse Practitioner | 245 Admiral Ln, Bronx, NY 10473-2446 | 2013-10-17 |
| 1568704591 | Sophia Nurani | Nurse Practitioner | 3144 3rd Ave, Bronx, NY 10451-4629 | 2013-03-15 |
| Find all providers in BRONX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.