Individual provider Active NPI

Denise Grueneberg, R.N.

  • Registered Nurse
  • Stewart Manor, NY
National Provider Identifier
1184909970
Registry record updated Oct 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
602926 Issued in NY
Practice address
242 Fernwood Ter
Stewart Manor, NY 11530-5012
Phone
(516) 354-4298
NPI assigned
Oct 12, 2011
Last updated
Oct 12, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2011

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 602926 NY Primary

Addresses

Primary practice location

242 Fernwood Ter
Stewart Manor, NY 11530-5012

Mailing address

242 Fernwood Ter
Stewart Manor, NY 11530-5012
Phone (516) 354-4298

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
602926NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318377600000",
    "number": "1184909970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 FERNWOOD TER",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115305012",
            "telephone_number": "516-354-4298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "242 FERNWOOD TER",
            "city": "STEWART MANOR",
            "state": "NY",
            "postal_code": "115305012",
            "telephone_number": "516-354-4298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRUENEBERG",
        "first_name": "DENISE",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-12",
        "last_updated": "2011-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "602926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stewart Manor, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2011; 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.