Look up the most recent NPI and PECOS records

Princess Lafayette

Registered Nurse

Nursing Service Providers

3444 Fenton Ave, Bronx, NY 10469-2016

PECOS Enrollment

Based on the most recent information from CMS, provider Princess Lafayette does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records 7 days ago.

Profile Details

Provider ID
1649884024
Provider Type
Individual
Full Name
Lafayette, Princess
Gender
Female

Sole Proprietor
No
Enumeration Date
9/3/2020
Last Updated
9/3/2020

Contact Information

Practice Location

3444 Fenton Ave, Bronx, NY 10469-2016

(347) 734-6827

Unlisted Fax

Mailing Location

3444 Fenton Ave, Bronx, NY 10469-2016

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 163W00000X Primary	Description Registered Nurse Nursing Service Providers	License 7623701 New York

Provider Identifiers

ID	Description	Issuer
ID 7623701	Description Medicaid	Issuer Unlisted New York

Princess Lafayette

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Roman, Leslyn Ramsay

Simpson, Winsome

Brown, Karen A

Pearson, Kamoy

Richards, Sherida

Harrison, Ouida

Brown, Marcia Rosemarie

Hall, Millicent

Strachan, Decell

Chima, Chioma