Individual provider Active NPI

Armiel Marquez Astillero

  • Registered Nurse
  • Smithtown, NY
National Provider Identifier
1174016497
Registry record updated Sep 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
626078 Issued in NY
Practice address
47 Juniper Ave
Smithtown, NY 11787-3441
Phone
(917) 348-7442
NPI assigned
Jun 12, 2018
Last updated
Sep 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 6, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
626078NYMDRegistered Nurse
626078-1NYMDAdult 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.

Verify at the official NPI Registry.