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Amanda Mary Bosu , LPN

Licensed Practical Nurse β€’ Bronx, NY

Active NPI 1497008916 Individual Practitioner Female Practitioner
Practice location in NPPES

2054 Tillotson Ave
Bronx, NY 104751560

Call 7186712100 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2054 Tillotson Ave

Bronx, NY 104751560

Telephone 7186712100
Organization at the Same NPPES Address or Phone
Pioneer Homecare Inc. Facility NPI 1124155825

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Bronx and New York

1,767 active clinicians are listed under Licensed Practical Nurse with a practice address in Bronx, NY (22,839 in New York).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Bronx

0% of these 1,767 clinicians have the CMS telehealth indicator.

0% of these 1,767 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

License # reported to NPPES NY 305415

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
Deinma Ibulubo , RN, FNP-BC

Nurse Practitioner - Family

NPI 1013261866

Registered Nurse, Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

11 Historical Events
βœ…
NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

πŸ“
Updated Business Mailing Address August 09, 2017

Registered at 1525 TOWNSEND AVE APT 2E, BRONX, NY 104526023 (Tel: 6463017858)

πŸ“
Updated Practice Location August 09, 2017

Registered at 2054 TILLOTSON AVE, BRONX, NY 104751560 (Tel: 7186712100)

πŸ‘€
Provider Name / Credentials Updated August 09, 2017

Recorded as AMANDA BOSU, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Licensed Practical Nurse (license number reported to NPPES: NY 305415)

βœ…
NPI Profile Active October 22, 2012

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) October 22, 2012

Registered at 2054 TILLOTSON AVE, BRONX, NY 104751560 (Tel: 7186712100)

πŸ“
Business Mailing Address (Initial Record) October 22, 2012

Registered at 2054 TILLOTSON AVE, BRONX, NY 104751560 (Tel: 7186712100)

πŸ‘€
Provider Name / Credentials (Initial Record) October 22, 2012

Recorded as AMANDA WIREKO, LPN

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 22, 2012

Licensed Practical Nurse (license number reported to NPPES: NY 305415)

🟒
Initial NPI Registration & Enumeration October 22, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1497008916
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 22, 2012
Last Update: August 09, 2017
Sole Proprietor: Yes

Mailing Address

1525 Townsend Ave Apt 2e

Bronx, NY 104526023

Phone: 6463017858

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.