- Practice location
- 945 Parkway Pl, Peekskill, NY 10566-1823
- Phone
- 914-736-6207
- Fax
- —
- Last updated
- May 19, 2010
Jack Omondi Omboro is a Licensed Practical Nurse based in Peekskill, NY. Jack Omondi Omboro practices in Peekskill, NY and has the professional credentials of LPN. The NPI Number for Jack Omondi Omboro is 1609195411 and holds a License No. 292686 (NY). The current practice location address for Jack Omondi Omboro is 945 Parkway Pl, Peekskill, NY 10566-1823 and can be reached out via phone at 914-736-6207.
Provider Profile Details
- NPI Number
- 1609195411
- Provider Name
- Jack Omondi Omboro
- Credential
- LPN
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 945 Parkway Pl, Peekskill, NY 10566-1823
- Phone Number
- 914-736-6207
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 19, 2010
- Last Update Date
- May 19, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 945 Parkway Pl
Peekskill, NY 10566-1823 - City
- Peekskill
- State
- New York
- Zip
- 10566-1823
- Phone Number
- 914-736-6207
Provider Business Mailing Address Details
- Address
- 945 Parkway Pl
Peekskill, NY 10566-1823 - City
- Peekskill
- State
- NY
- Zip
- 10566-1823
- Phone Number
- 914-736-6207
License Information
- License Number
- 292686
- License State
- NY
- Taxonomy
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Mr. Jack O Omboro, LPN?
The NPI number of Mr. Jack O Omboro, LPN is 1609195411. It was assigned on May 19, 2010 and is currently active in the NPPES registry.
What is the specialty of Mr. Jack O Omboro, LPN?
Mr. Jack O Omboro, LPN is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X), licensed in NY under license number 292686.
Where does Mr. Jack O Omboro, LPN practice?
The practice location is 945 Parkway Pl, Peekskill, NY 10566-1823. The office can be reached at 914-736-6207 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1609195411 directly on the NPPES registry website.