Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Miss. Sandra Sewanu Ajimavo, NP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1922607514

Miss. Sandra Sewanu Ajimavo, NP is a Nurse Practitioner in Brooklyn, New York. Qualified in 2023, 3 years ago. Practices with Sr Medical Services PLLC, an 11-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
3
Licensed in
NY
In the registry since
2020
Specialties on file
2
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

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Practice location Address checks out

506 6th St
Brooklyn, NY 11215-3609
Phone: (718) 780-3148
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 406175 (NY)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence F346010 (NY)

Record details

NPI number1922607514
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorYes
NPI enumeratedOctober 23, 2020
Last updated in NPPESNovember 9, 2025
Certification dateNovember 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sr Medical Services Pllc — 11 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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