Individual provider Active NPI

Lydia Filomena Ungaro, B.S.N., L.P.N.

  • Licensed Practical Nurse
  • Thornwood, NY
National Provider Identifier
1154473411
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
135267 Issued in NY
Practice address
501 Swanson Dr
Thornwood, NY 10594-2117
Phone
(914) 769-3630
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 135267 NY Primary

Addresses

Primary practice location

501 Swanson Dr
Thornwood, NY 10594-2117

Mailing address

1366 Merry Ave
Bronx, NY 10461-6024
Phone (917) 312-1043

Other identifiers 2

IdentifierTypeStateIssuer
135267OtherNYL.P.N. LICENSE
02291138MedicaidNY

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
Bachelor on Science - Nursing

State licenses

LicenseStateTypeSpecialty
135267NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1154473411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1366 MERRY AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104616024",
            "telephone_number": "917-312-1043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 SWANSON DR",
            "city": "THORNWOOD",
            "state": "NY",
            "postal_code": "105942117",
            "telephone_number": "914-769-3630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNGARO",
        "first_name": "LYDIA",
        "middle_name": "FILOMENA",
        "credential": "B.S.N., L.P.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "135267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L.P.N. LICENSE",
            "identifier": "135267",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02291138",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thornwood, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.