Romina A Cevallos, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

85237301 Issued in NY

Practice address

5 Willowbrook Ave Apt 5a
Bay Shore, NY 11706-8532

Phone

(934) 500-9162

NPI assigned

Sep 20, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1154044790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 WILLOWBROOK AVE APT 5A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068532",
            "telephone_number": "934-500-9162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 WILLOWBROOK AVE APT 5A",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068532",
            "telephone_number": "934-500-9162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEVALLOS",
        "first_name": "ROMINA",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "85237301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Geraldina Celestin
• Lisa Cellura
• Carmelo Centeno
• Anthony J Cerabino, L.AC, LMT
• Cynthia Lynn Cersosim, MA, CCC/SLP
• Manish Chadha, M.D.
• Prabhjot Singh Chahal, M.D.
• Lon Yin Chan, MD
• Priyanshi Chandiwala
• Kevin J Chang

• General Practice Registered Nurse in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.