Provider Demographics
NPI:1922284819
Name:RANI, JASWANT (NURSE)
Entity Type:Individual
Prefix:MRS
First Name:JASWANT
Middle Name:
Last Name:RANI
Suffix:
Gender:F
Credentials:NURSE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 HOBBY STREET
Mailing Address - Street 2:
Mailing Address - City:PLESANTVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:10570
Mailing Address - Country:US
Mailing Address - Phone:914-519-7328
Mailing Address - Fax:
Practice Address - Street 1:31 HOBBY STREET
Practice Address - Street 2:
Practice Address - City:PLESANTVILLE
Practice Address - State:NY
Practice Address - Zip Code:10570
Practice Address - Country:US
Practice Address - Phone:914-519-7328
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY229626164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02049856Medicaid