Individual provider Active NPI

Gessie Elna Vertus-Bruce, RN P.C., RN-BSN

  • Critical Care Medicine Registered Nurse
  • West Babylon, NY
National Provider Identifier
1174219018
Registry record updated Oct 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine Registered NurseTaxonomy code 163WC0200X
License
717868 Issued in NY
Practice address
84 Forest Ave
West Babylon, NY 11704-5155
Phone
(239) 961-5247
NPI assigned
Apr 13, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical-Surgical Registered Nurse 163WM0705X 717868 NY
Registered Nurse 163W00000X 717868 NY
Critical Care Medicine Registered Nurse 163WC0200X 717868 NY Primary

Addresses

Primary practice location

84 Forest Ave
West Babylon, NY 11704-5155

Mailing address

84 Forest Ave
West Babylon, NY 11704-5155
Phone (239) 961-5247

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
717868NYMDMedical-Surgical Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1681344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697241600000",
    "number": "1174219018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 FOREST AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045155",
            "telephone_number": "239-961-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 FOREST AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117045155",
            "telephone_number": "239-961-5247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERTUS-BRUCE",
        "first_name": "GESSIE",
        "middle_name": "ELNA",
        "credential": "RN P.C., RN-BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-13",
        "last_updated": "2023-10-14",
        "certification_date": "2023-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "NY",
            "license": "717868",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "717868",
            "primary": false
        },
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "717868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2023; 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.