Carolyn McCloskey, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

694243 Issued in NY

Practice address

116 Pine Rd
Mastic Beach, NY 11951-2524

Phone

(631) 897-6314

NPI assigned

Jan 10, 2025

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

State licenses

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

{
    "created_epoch": "1736467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736467200000",
    "number": "1184434201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 PINE RD",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119512524",
            "telephone_number": "631-897-6314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 PINE RD",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119512524",
            "telephone_number": "631-897-6314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLOSKEY",
        "first_name": "CAROLYN",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-10",
        "last_updated": "2025-01-10",
        "certification_date": "2025-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "694243",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Mas
• Mastic Beach Ambulance Company Inc
• Liana Crystal Matzen, LPN
• Linda McAuliff, R.N.
• Claire McCarthy, RN
• Jennifer McCloskey
• Mark Mensch, ATC
• Magdaline Mervil, RN, NP
• Marlane Militano
• Patricia Marie Mohn, LMHC

• Registered Nurse in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2025; 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.