Tina Jann Murray, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

399477-1 Issued in NY

Practice address

104 Alice St
Port Jefferson, NY 11777-2006

Phone

(631) 928-8003

NPI assigned

Nov 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1193961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193961600000",
    "number": "1083893325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 GRANADA CIR",
            "city": "MOUNT SINAI",
            "state": "NY",
            "postal_code": "117662811",
            "telephone_number": "631-828-8252",
            "fax_number": "631-828-8252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 ALICE ST",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772006",
            "telephone_number": "631-928-8003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURRAY",
        "first_name": "TINA",
        "middle_name": "JANN",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-02",
        "last_updated": "2007-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "399477-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "399477-1",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Harrison Moynihan, DO
• Michelle Murdolo, MS, RD, CDN
• Kristine Murillo
• Loretta C Murolo, LCSW
• Sarah Lyn Murphy, LMSW
• My CHS RX Inc.
• Myat Myo, M.D
• Abdullah Nazar Najdat, MD
• Lana Naji, PHARM D
• John R Nally

• Registered Nurse in Port Jefferson, NY
• Providers in Port Jefferson, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2007; 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.