Timothy Ezadhe, - Licensed Practical Nurse in Staten Island, NY

Timothy Ezadhe, is a Licensed Practical Nurse based in Staten Island, New York. Timothy Ezadhe is licensed to practice in New York (license number 306157-1) and his current practice location is 151 Jersey St, Apt.1d, Staten Island, New York. He can be reached at his office (for appointments etc.) via phone at (347) 785-3270.

NPI number for Timothy Ezadhe is 1053684340 and his current mailing address is 151 Jersey Street, Apt.1d, Staten Island, New York. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053684340.

Contact Information

Timothy Ezadhe,
151 Jersey St, Apt.1d,
Staten Island, NY 10301-1464
(347) 785-3270
Not Available

Map and Direction




Provider's Profile

Full NameTimothy Ezadhe
GenderMale
SpecialityLicensed Practical Nurse
Location151 Jersey St, Staten Island, New York
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1053684340
  • Provider Enumeration Date: 02/16/2012
  • Last Update Date: 02/16/2012

Medical Identifiers

Medical identifiers for Timothy Ezadhe such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1053684340NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
164W00000XLicensed Practical Nurse 306157-1 (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. Timothy Ezadhe 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 AddressPractice Location Address
Timothy Ezadhe,
151 Jersey Street, Apt.1d,
Staten Island, NY 10301

Ph: (347) 785-3270
Timothy Ezadhe,
151 Jersey St, Apt.1d,
Staten Island, NY 10301-1464

Ph: (347) 785-3270

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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