Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1164318085 Individual Practitioner Female Practitioner

Ebony Bryan

Licensed Practical Nurse • Arverne, NY

Professional Overview & Biography Verified Profile Summary

Ebony Bryan is a registered healthcare professional specializing in Licensed Practical Nurse in Arverne, NY. Practice services are available at 6603 BEACH CHANNEL DR under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

6603 Beach Channel Dr

Arverne, NY 116921433

Telephone 7184718671

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Arverne, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
41 Specialists

Practicing in Arverne, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-16
Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 309401-01

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

15 Associated Practitioners
Stephanie Octavius- Johnson

Case Manager/Care Coordinator

NPI 1124865217
NPI 1316572142

Licensed Clinical Social Worker

Martin Torres

Social Worker

NPI 1487481792
Latisha Coleman

Social Worker

NPI 1528637584
NPI 1568989226

SOCIALWORKER

Kadene Whitehead

Clinic/Center - Adult Mental Health

NPI 1659956159

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 16, 2025

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2025

Registered at 6603 BEACH CHANNEL DR, ARVERNE, NY 116921433 (Tel: 7184718671)

📍
Updated Business Mailing Address June 16, 2025

Registered at 128 GUY LOMBARDO AVE APT D6, FREEPORT, NY 115204403 (Tel: 5164341116)

👤
Provider Name / Credentials Updated June 16, 2025

Recorded as EBONY BRYAN

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2025

Licensed Practical Nurse (License #309401-01 in NY)

🟢
Initial NPI Registration & Enumeration June 16, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1164318085
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 16, 2025
Last Update: June 16, 2025
Sole Proprietor: Yes

Mailing Address

128 Guy Lombardo Ave Apt D6

Freeport, NY 115204403

Phone: 5164341116

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.