Mary Grace Tesalona Orozco, BSN

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

613402 Issued in NY

Practice address

379 Mooney Pond Rd
Selden, NY 11784

Phone

(516) 658-3754

NPI assigned

Jul 28, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor on Science - Nursing

State licenses

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

{
    "created_epoch": "1564272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564272000000",
    "number": "1184278277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SCHOOLHOUSE WAY",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "11746",
            "telephone_number": "516-499-4313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "379 MOONEY POND RD",
            "city": "SELDEN",
            "state": "NY",
            "postal_code": "11784",
            "telephone_number": "516-658-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TESALONA OROZCO",
        "first_name": "MARY",
        "middle_name": "GRACE",
        "credential": "BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-28",
        "last_updated": "2019-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "613402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Sullivan
• Carlton Alba Sumner, DDS
• Bryanna A Swindell, LPN
• Syed Numan LLC
• Thomas Joseph Telesca, LAC
• Nicole Rose Tesoriero, REGISTERED NURSE
• Benson Thomas, PHARM.D.
• Jacques Emmanuel Thomas
• Top DME LLC
• Courtenay Trainor, RN

• Home Health Registered Nurse in Selden, NY
• Providers in Selden, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2019; 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.