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

Mr. Leroi Ephraim Dewitt Jr., RN

Individual provider Licensed Practical Nurse · NPI 1104089184

Mr. Leroi Ephraim Dewitt Jr., RN is a Licensed Practical Nurse in Mount Vernon, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

30 Park Ave #5D
Mount Vernon, NY 10550-2145
Phone: (347) 203-9580
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Registered Nurse (primary) Taxonomy 163W00000X · Licence 652287 (NY)
Licensed Practical Nurse Taxonomy 164W00000X · Licence 292387 (NY)

Record details

NPI number1104089184
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 9, 2008
Last updated in NPPESJune 25, 2013

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