MR. BONNY YOHANNAN (NPI# 1366940918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366940918 |
| Entity Type | Individual |
| Full Name | MR. BONNY YOHANNAN |
| Credential | RN |
| Practice Address |
7925 Winchester Blvd Queens Village NY 11427-2128 |
| Practice Telephone | 5166438277 |
| Mailing Telephone | 7192644050 |
| Enumeration Date | 2018-01-29 |
| Last Update Date | 2018-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
730248 | NY | Nursing Service Providers |
| Street Address |
7925 WINCHESTER BLVD |
| City | QUEENS VILLAGE |
| State | NY |
| Zip Code | 11427-2128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255411724 | Raiyasari Bangaru | Psychiatry & Neurology | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2006-10-17 |
| 1518583400 | Derryck Nesbitt | Social Worker | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-06-17 |
| 1093344624 | Amritha Mangalat | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-06 |
| 1619506490 | Jacob Gohari | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-03 |
| 1013546092 | Fairooz Abida | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1144859125 | Mary Camille Palisoc | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2020-04-02 |
| 1750922092 | Diona Ceniza | Art Therapist | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-10-07 |
| 1164983763 | Anthony Chih Duong | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1306307988 | Adam Bernstein | Student in an Organized Health Care Education/Training Program | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2019-03-27 |
| 1336610286 | Russell Miravite | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255970984 | Hcode LLC | Case Manager/Care Coordinator | 212-29 Hillside Avenue, 6ew, Queens Village, NY 11427 | 2019-12-28 |
| 1659929735 | Adult Choice Np In Adult Heath Pllc | Clinic/Center | 21440 Hillside Ave, Queens, NY 11427 | 2019-08-31 |
| 1063079614 | Caitlin Knapp | Social Worker | Queens Village Jamaica Wellness and Recovery Center, 80-45 Winchester Boulevard (building 73), Queens Village, NY 11427 | 2019-05-20 |
| 1336648120 | Veronica Belinda Simpson V | Licensed Practical Nurse | 79-25 Wichester Blvd, Queens Village, NY 11427 | 2018-02-07 |
| 1427557404 | Frank Oriakhi | Licensed Practical Nurse | 79-25 Winchester Blv, Queens Village, NY 11427 | 2018-02-06 |
| 1376042333 | Mariamma C Oommen | Registered Nurse | 79 25 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1861991838 | Claudette Erica Layne | Registered Nurse | 80-45 Winchester Blvd, Queens Village, NY 11427 | 2018-02-06 |
| 1194224253 | Annamma James I | Registered Nurse | 7925 Winchestetr Blvd, Winchester Bld, Queens, NY 11427 | 2018-02-05 |
| 1740798396 | Michael Mccain | Respite Care | 80-09 Winchester Blvd, Queens Village, NY 11427 | 2018-01-17 |
| 1831600121 | Marcia Maureen Higgins | Registered Nurse | 209-04 Hillside Avenue, Queens Village, NY 11427 | 2017-10-13 |
| Find all providers in zip 11427 | ||||
| Taxonomy Code | 163WP0808X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780154567 | Sheeba Jacob | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-05 |
| 1073083887 | Mini David | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-12-05 |
| 1801366976 | Ashamole Nair | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-11-30 |
| 1669972006 | Marie Lilianne Cesar | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-02-12 |
| 1457850075 | Annamma Mathew | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-02-09 |
| 1427557214 | Marie Germaine Laroque | Registered Nurse | 79-25 Winchester Blvd., Queens Village, NY 11428 | 2018-02-07 |
| 1184123234 | Ronish Kuttikattiljose | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-02-05 |
| 1083113138 | Jean Dickens Allonce | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-02-05 |
| 1811495468 | Jane Youngmi Choi | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-01-29 |
| 1902304553 | Francis A. Ojiezele | Registered Nurse | 7925 Winchester Blvd, Queens Village, NY 11427-2128 | 2018-01-29 |
| Find all providers in QUEENS VILLAGE | ||||
| City | QUEENS VILLAGE |
| Zip Code | 11427 |
Please comment or provide details below to improve the information on MR. BONNY YOHANNAN.
| 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.