MR. JACK OMONDI OMBORO LPN
NPI 1609195411
Licensed Practical Nurse in Peekskill, NY

Active since May 19, 2010
945 PARKWAY PL, PEEKSKILL, NY 10566(914) 736-6207 Get Directions Write a Review

NPPES record last updated: May 19, 2010. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Mr. Jack Omondi Omboro Lpn NPPES

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

MR. JACK OMONDI OMBORO LPN (NPI 1609195411) is an individual licensed practical nurse in Peekskill, New York, licensed in New York (292686) and active in the NPI registry since May 2010.

NPPES Registry Identity

NPI1609195411
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameMR. JACK OMONDI OMBOROCredential: LPN
Location Address945 PARKWAY PLPeekskill, NY 10566-1823
Mailing Address945 Parkway PlPeekskill, NY 10566-1823 · (914) 736-6207
Sole ProprietorYes
Enumeration DateMay 19, 2010
NPI 1609195411 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 · 292686
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.
945 PARKWAY PL, Peekskill, NY 10566

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 Jack Omboro's NPI number?

The NPI number for Jack Omboro is 1609195411. It was assigned to this individual provider in the NPPES registry on May 19, 2010.

Where is Jack Omboro located?

Jack Omboro practices at 945 Parkway Pl, Peekskill, NY 10566. The listed phone number is (914) 736-6207.

What is Jack Omboro'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 Jack Omboro was last updated on May 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.