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MICHAEL MEDINA
NPI 1467879429
Licensed Practical Nurse in Bronx, NY

Active since March 27, 2014
1510 WATERS PL, BRONX, NY 10461(718) 829-3440 Get Directions Write a Review

NPPES record last updated: March 27, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Medina NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL MEDINA (NPI 1467879429) is an individual licensed practical nurse in Bronx, New York, licensed in New York (311292) and active in the NPI registry since March 2014.

NPPES Registry Identity

NPI1467879429
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMICHAEL MEDINA
Location Address1510 WATERS PLBronx, NY 10461-2700
Mailing Address1510 Waters PlBronx, NY 10461-2700
Phone(718) 829-3440
Sole ProprietorNo
Enumeration DateMarch 27, 2014
✔ NPI 1467879429 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 311292
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
1510 WATERS PL, Bronx, NY 10461
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DENNIS ORTIZ SR. CASAC-T
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9420
SHERRY SAMAROO LMHC
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Bronx County (347) 493-8532
MS. GABRIELLE MARIE DUBOIS CASAC
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9420
MRS. ANGELA MARIA GROSSO-TOSCANO LMFT
Marriage & Family Therapist
1510 WATERS PL
BRONX, NY 10461
Bronx County (347) 493-8501
MS. BEVERLY HYATT RN
Registered Nurse (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9433
GLORIA APONTE BA
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9420
ALBERT EINSTEIN COLLEGE OF MEDICINE
Case Management
1510 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9450
MS. ANNA LODI BA, CASAC-T
Counselor (Addiction (Substance Use Disorder))
1510 WATERS PL
BRONX, NY 10461
Bronx County (718) 409-9433

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Medina's NPI number?

The NPI number for Michael Medina is 1467879429. It was assigned to this individual provider in the NPPES registry on March 27, 2014.

Where is Michael Medina located?

Michael Medina practices at 1510 Waters Pl, Bronx, NY 10461. The listed phone number is (718) 829-3440.

What is Michael Medina's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Michael Medina was last updated on March 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.