Provider Demographics
NPI:1467249748
Name:JAVIER, SADALMELI (RN BSN)
Entity type:Individual
Prefix:
First Name:SADALMELI
Middle Name:
Last Name:JAVIER
Suffix:
Gender:
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112 NAGLE AVE APT 2B
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10040-1460
Mailing Address - Country:US
Mailing Address - Phone:646-717-3530
Mailing Address - Fax:
Practice Address - Street 1:112 NAGLE AVE APT 2B
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10040-1460
Practice Address - Country:US
Practice Address - Phone:646-717-3530
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-22
Last Update Date:2025-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY597034-01163WE0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WE0003XNursing Service ProvidersRegistered NurseEmergency