Active NPI
Armiel Marquez Astillero
- Registered Nurse
- Smithtown, NY
National Provider Identifier
1174016497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 626078
- Practice address
- 47 Juniper Ave
Smithtown, NY 11787-3441 - Phone
- (917) 348-7442
- NPI assigned
- Jun 12, 2018
- Last updated
- Sep 6, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 626078 | NY | Primary |
| Adult Psychiatric/Mental Health Registered Nurse | 163WP0809X | 626078-1 | NY |
Addresses
Primary practice location
47 Juniper Ave
Smithtown, NY 11787-3441
Mailing address
77 Maple Ave Apt C9
Smithtown, NY 11787-3534
Phone (917) 348-7442
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 |
|---|---|---|---|
| 626078 | NY | MD | Registered Nurse |
| 626078-1 | NY | MD | Adult Psychiatric/Mental Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725580800000",
"number": "1174016497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 MAPLE AVE APT C9",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873534",
"telephone_number": "917-348-7442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47 JUNIPER AVE",
"city": "SMITHTOWN",
"state": "NY",
"postal_code": "117873441",
"telephone_number": "917-348-7442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ASTILLERO",
"first_name": "ARMIEL",
"middle_name": "MARQUEZ",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-12",
"last_updated": "2024-09-06",
"certification_date": "2024-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "626078",
"primary": true
},
{
"code": "163WP0809X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
"state": "NY",
"license": "626078-1",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smithtown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.