Individual provider Active NPI

Sharon Digeronimo, RN

  • Registered Nurse
  • Central Valley, NY
National Provider Identifier
1104182146
Registry record updated Apr 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
22283607 Issued in NY
Practice address
199 Dunderberg Rd
Central Valley, NY 10917-3507
Phone
(845) 460-6400
Fax
(845) 460-6034
NPI assigned
Apr 4, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 22283607 NY Primary

Addresses

Primary practice location

199 Dunderberg Rd
Central Valley, NY 10917-3507

Mailing address

199 Dunderberg Rd
Central Valley, NY 10917-3507
Phone (845) 460-6400

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
22283607NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333497600000",
    "number": "1104182146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "199 DUNDERBERG RD",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173507",
            "telephone_number": "845-460-6400",
            "fax_number": "845-460-6034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "199 DUNDERBERG RD",
            "city": "CENTRAL VALLEY",
            "state": "NY",
            "postal_code": "109173507",
            "telephone_number": "845-460-6400",
            "fax_number": "845-460-6034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGERONIMO",
        "first_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-04",
        "last_updated": "2012-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "22283607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Central Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2012; 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.