Omawatie Shelly Gopee-bonilla
Omawatie Gopee-santana · Nurse Practitioner (Family)

Address: 1775 Grand Concourse Fl 5, Bronx, NY 10453-8202
Phone: 5614724701

Omawatie Shelly Gopee-bonilla (NPI# 1700421336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1700421336
Entity Type Individual
Full Name Omawatie Shelly Gopee-bonilla
Other Name Omawatie Gopee-santana
Credential MSN, RN, FNP-BC
Gender Female
Practice Address 1775 Grand Concourse Fl 5
Bronx
NY 10453-8202
Practice Telephone 5614724701
Mailing Address 289 Helena Ave
Yonkers
NY 10710-2118
Mailing Telephone 5614724701
Sole Proprietor Yes, this individual is a Sole Proprietor
Enumeration Date 2019-11-07
Last Update Date 2020-05-01

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 363LF0000X Nurse Practitioner · Family Physician Assistants & Advanced Practice Nursing Providers F345067-01 NY

Other Provider Identifier

State Identifier Issuer Type Code
NY F345067-01 OTHER NEW YORK STATE OFFICE OF THE PROFESSIONS
MD 2019039937 OTHER AMERICAN NURSES CREDENTIALING CENTER

Secondary Practice Locations

Address Telephone Number Fax Number
3314 Steuben Ave, Bronx, NY 104672806 5614724701

Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to comeā€¦

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Office Location

Street Address 1775 GRAND CONCOURSE FL 5
City BRONX
State NY
Zip Code 10453-8202

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033745849 Jennifer Vargas Student in an Organized Health Care Education/Training Program Bronxcare Health Systems Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 2020-03-13
1457985038 John Steven Contreras Student in an Organized Health Care Education/Training Program Bronxcare Health Systems, Dept of Dentistry, 1775 Grand Concourse 6th Floor, Bronx, NY 10453 2020-02-24
1538799648 Ari Warshawsky Counselor Postgraduate Center for Mental Health, 1775 Grand Concourse, 8th Floor, Bronx, NY 10453 2020-01-17
1407403413 Cristaly Williams Behavior Analyst 2105 Jerome Avenue, Bronx, NY 10453 2019-08-23
1770041204 Yei Won Lee Student in an Organized Health Care Education/Training Program Bronxcare Health Systems, Dental Dept, 1775 Grand Concourse, 6th Floor, Bronx, NY 10453 2019-03-04
1265905517 William Alexander Jones Jr. Behavior Technician 1749grand Concourse, 1749 Grand Concourse Apt Ph8, Bronx, NY 10453 2019-01-09
1154810737 Emily Patricia Mitchell Occupational Therapist 2105 Jerome Ave, Bronx, NY 10453 2018-05-09
1417445149 Ashna N Shah Student in an Organized Health Care Education/Training Program Bronx Lebanon Hospital Center 6 Th Floor, 1775 Grand Concourse, Bronx, NY 10453 2018-04-27
1700384328 Kevin Ponce Obate Physical Therapist 1975 University Ave, Bronx, NY 10453 2018-01-29
1770095978 Alexmi Polanco Counselor 1894 Walton Ave Fl 2, Bronx, NY 10453 2017-10-27
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Competitor

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City BRONX
Zip Code 10453

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Dataset Information

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.

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