Individual provider Active NPI

Sugeiry Lourdes Vernacchio, LPN

  • Licensed Practical Nurse
  • Bergenfield, NJ
National Provider Identifier
1134716772
Registry record updated Dec 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
26NP07721300 Issued in NJ
Practice address
8 Banta PL
Bergenfield, NJ 07621-1104
Phone
(201) 665-7532
NPI assigned
Dec 29, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X 26NP07721300 NJ Primary

Addresses

Primary practice location

8 Banta PL
Bergenfield, NJ 07621-1104

Mailing address

8 Banta PL
Bergenfield, NJ 07621-1104
Phone (201) 665-7532

Other names 1

  • Sugeiry Lourdes Vernacchio Former name

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
26NP07721300NJMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609200000000",
    "number": "1134716772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 BANTA PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211104",
            "telephone_number": "201-665-7532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 BANTA PL",
            "city": "BERGENFIELD",
            "state": "NJ",
            "postal_code": "076211104",
            "telephone_number": "201-665-7532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERNACCHIO",
        "first_name": "SUGEIRY",
        "middle_name": "LOURDES",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": "NJ",
            "license": "26NP07721300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUGEIRY",
            "last_name": "VERNACCHIO",
            "middle_name": "LOURDES",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bergenfield, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2020; 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.