Active NPI
Suzanne M Gentilejohnson, REGISTERED NURSE
- School Registered Nurse
- West Hempstead, NY
National Provider Identifier
1114297512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 303566-1
- Practice address
- 12 Westminster Rd
St. Thomas Apostle School
West Hempstead, NY 11552-1617 - Phone
- (516) 481-9310
- Fax
- (516) 481-8769
- NPI assigned
- Jan 3, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 303566-1 | NY | Primary |
Addresses
Primary practice location
12 Westminster Rd
St. Thomas Apostle School
West Hempstead, NY 11552-1617
Mailing address
12 Westminister Road
St. Thomas Apostle School
West Hempstead, NY 11552
Phone (516) 481-9310
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
| License | State | Type | Specialty |
|---|---|---|---|
| 303566-1 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325808000000",
"number": "1114297512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 WESTMINISTER ROAD",
"address_2": "ST. THOMAS APOSTLE SCHOOL",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "11552",
"telephone_number": "516-481-9310",
"fax_number": "516-481-8769"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 WESTMINSTER RD",
"address_2": "ST. THOMAS APOSTLE SCHOOL",
"city": "WEST HEMPSTEAD",
"state": "NY",
"postal_code": "115521617",
"telephone_number": "516-481-9310",
"fax_number": "516-481-8769"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GENTILEJOHNSON",
"first_name": "SUZANNE",
"middle_name": "M",
"credential": "REGISTERED NURSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-03",
"last_updated": "2012-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "303566-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hempstead, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.