Individual provider Active NPI

Nancy Lopusnak, LPN

  • Licensed Practical Nurse
  • Fair Lawn, NJ
National Provider Identifier
1013340355
Registry record updated Aug 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
296054 Issued in NY
Practice address
12-13 Ellis Ave
Fair Lawn, NJ 07410-1635
Phone
(201) 321-8706
NPI assigned
Aug 9, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 296054 NY Primary
Licensed Practical Nurse 164W00000X 26NP06947800 NJ

Addresses

Primary practice location

12-13 Ellis Ave
Fair Lawn, NJ 07410-1635

Mailing address

8 E 3Rd St
2ND Floor
New York, NY 10003-8908
Phone (212) 533-8400

Other identifiers 2

IdentifierTypeStateIssuer
296054OtherNYNY SED
26NP06947800OtherNJNJ SED

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

State licenses

LicenseStateTypeSpecialty
26NP06947800NJMDLicensed Practical Nurse
296054NYMDOccupational Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1376006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376006400000",
    "number": "1013340355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 E 3RD ST",
            "address_2": "2ND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100038908",
            "telephone_number": "212-533-8400",
            "fax_number": "212-763-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12-13 ELLIS AVE",
            "city": "FAIR LAWN",
            "state": "NJ",
            "postal_code": "074101635",
            "telephone_number": "201-321-8706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPUSNAK",
        "first_name": "NANCY",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-09",
        "last_updated": "2013-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "296054",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP06947800",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY SED",
            "identifier": "296054",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NJ SED",
            "identifier": "26NP06947800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fair Lawn, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.