Thakane Masondo, is a
Licensed Practical Nurse based in Leonia, New Jersey. Thakane Masondo is licensed to practice in New York (license number 331390) and her current practice location is
61 Hawthorne Ter, Leonia, New Jersey. She can be reached at her office (for appointments etc.) via phone at
(914) 294-9683.
NPI number for Thakane Masondo is 1427531623 and her current mailing address is 61 Hawthorne Ter, Leonia, New Jersey. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1427531623.
Provider's Profile
| Full Name | Thakane Masondo |
|---|
| Gender | Female |
|---|
| Speciality | Licensed Practical Nurse |
|---|
| Location | 61 Hawthorne Ter, Leonia, New Jersey |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1427531623
- Provider Enumeration Date: 09/13/2018
- Last Update Date: 09/13/2018
Medical Identifiers
Medical identifiers for Thakane Masondo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1427531623 | NPI | - | NPPES |
| WD77880U | Medicaid | NY | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 164W00000X | Licensed Practical Nurse | 331390 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Thakane Masondo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Thakane Masondo,
61 Hawthorne Ter,
Leonia, NJ 07605-1118
Ph: (914) 294-9683 | Thakane Masondo,
61 Hawthorne Ter,
Leonia, NJ 07605-1118
Ph: (914) 294-9683 |
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