Individual provider Active NPI

Stephanie A Dayondon, RN

  • Registered Nurse
  • East Elmhurst, NY
National Provider Identifier
1184059032
Registry record updated Sep 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
591048 Issued in NY
Practice address
7710 24TH Ave
East Elmhurst, NY 11370-1518
Phone
(347) 406-2860
NPI assigned
Sep 11, 2013
Last updated
Sep 11, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 591048 NY Primary

Addresses

Primary practice location

7710 24TH Ave
East Elmhurst, NY 11370-1518

Mailing address

7710 24TH Ave
East Elmhurst, NY 11370-1518
Phone (347) 406-2860

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
591048NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1378857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378857600000",
    "number": "1184059032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7710 24TH AVE",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701518",
            "telephone_number": "347-406-2860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7710 24TH AVE",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701518",
            "telephone_number": "347-406-2860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAYONDON",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-11",
        "last_updated": "2013-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "591048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2013; 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.