Active NPI
Kathleen J Zylko, RN
- Registered Nurse
- Swan Lake, NY
National Provider Identifier
1114181757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 2439541
- Practice address
- 4504 St Rte 55
Daytop Village Inc
Swan Lake, NY 12783 - Phone
- (845) 292-6875
- Fax
- (845) 292-4873
- NPI assigned
- Jul 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2439541 | NY | Primary |
Addresses
Primary practice location
4504 St Rte 55
Daytop Village Inc
Swan Lake, NY 12783
Mailing address
4504 St Rte 55
Daytop Village Inc
Swan Lake, NY 12783
Phone (845) 292-6875
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2439541 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1114181757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4504 ST RTE 55",
"address_2": "DAYTOP VILLAGE INC",
"city": "SWAN LAKE",
"state": "NY",
"postal_code": "12783",
"telephone_number": "845-292-6875",
"fax_number": "845-292-4873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4504 ST RTE 55",
"address_2": "DAYTOP VILLAGE INC",
"city": "SWAN LAKE",
"state": "NY",
"postal_code": "12783",
"telephone_number": "845-292-6875",
"fax_number": "845-292-4873"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ZYLKO",
"first_name": "KATHLEEN",
"middle_name": "J",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-14",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "2439541",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Swan Lake, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.