Individual provider Active NPI

Regina B Kaykaty, MS SP. ED.

  • Specialist
  • Staten Island, NY
National Provider Identifier
1174871156
Registry record updated Aug 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1074297 Issued in NY
Practice address
68 Tacoma St
Staten Island, NY 10304-4222
Phone
(917) 359-9340
Fax
(718) 980-4944
NPI assigned
Aug 22, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1074297 NY Primary

Addresses

Primary practice location

68 Tacoma St
Staten Island, NY 10304-4222

Mailing address

68 Tacoma St
Staten Island, NY 10304-4222
Phone (917) 359-9340

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
Master of Science

State licenses

LicenseStateTypeSpecialty
1074297NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1345593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345593600000",
    "number": "1174871156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 TACOMA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044222",
            "telephone_number": "917-359-9340",
            "fax_number": "718-980-4944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 TACOMA ST",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103044222",
            "telephone_number": "917-359-9340",
            "fax_number": "718-980-4944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAYKATY",
        "first_name": "REGINA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "MS SP. ED.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-22",
        "last_updated": "2012-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1074297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2012; 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.