Provider Demographics
NPI:1053601989
Name:NJI, MAGDALINE WOYISUNGAZI (LPN)
Entity type:Individual
Prefix:
First Name:MAGDALINE
Middle Name:WOYISUNGAZI
Last Name:NJI
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10614 217TH ST
Mailing Address - Street 2:
Mailing Address - City:QUEENS VILLAGE
Mailing Address - State:NY
Mailing Address - Zip Code:11429-1930
Mailing Address - Country:US
Mailing Address - Phone:917-651-8941
Mailing Address - Fax:
Practice Address - Street 1:10614 217TH ST
Practice Address - Street 2:
Practice Address - City:QUEENS VILLAGE
Practice Address - State:NY
Practice Address - Zip Code:11429-1930
Practice Address - Country:US
Practice Address - Phone:917-651-8941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-12
Last Update Date:2011-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY301417164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY303417OtherLPN LICENSE