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Frehiwot Berhanu

NPI 1104201821ActiveIndividual· Licensed Practical Nurse· Ridgefield, NJ

Licensed Practical Nurse in Ridgefield, New Jersey, licensed in NY, with an NPI issued in July 2015.

Overview

NPI1104201821
StatusActive
Entity typeIndividual
Sole proprietorNo
NPI issuedJul 23, 2015
Last updated in NPPESJul 23, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Licensed Practical Nurse Primary164W00000X269332NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Licensed Practical Nurse providers in Ridgefield

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