Active NPI
Tyrone G Ligon Jr., LPN
- Licensed Practical Nurse
- Blue Point, NY
National Provider Identifier
1003732199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 338146
- Practice address
- 263 Blue Point Ave
Blue Point, NY 11715-1224 - Phone
- (631) 419-6737
- Fax
- (631) 868-3498
- NPI assigned
- Jun 24, 2026
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 338146 | NY | Primary |
Addresses
Primary practice location
263 Blue Point Ave
Blue Point, NY 11715-1224
Mailing address
22 Summersweet Dr
Middle Island, NY 11953-2716
Phone (631) 506-6945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1003732199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 SUMMERSWEET DR",
"city": "MIDDLE ISLAND",
"state": "NY",
"postal_code": "119532716",
"telephone_number": "631-506-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "263 BLUE POINT AVE",
"city": "BLUE POINT",
"state": "NY",
"postal_code": "117151224",
"telephone_number": "631-419-6737",
"fax_number": "631-868-3498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIGON",
"first_name": "TYRONE",
"middle_name": "G",
"name_suffix": "Jr.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-06-24",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "338146",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Blue Point, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.