Active NPI
Marie Rose Lucien, TEACHER
- Specialist
- Elmont, NY
National Provider Identifier
1184969024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 069058011
- Practice address
- 51 Emily Ave
Elmont, NY 11003-4219 - Phone
- (516) 354-1051
- NPI assigned
- Dec 4, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 069058011 | NY | Primary |
Addresses
Primary practice location
51 Emily Ave
Elmont, NY 11003-4219
Mailing address
51 Emily Ave
Elmont, NY 11003-4219
Phone (516) 354-1051
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 069058011 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1354579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1354579200000",
"number": "1184969024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "51 EMILY AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034219",
"telephone_number": "516-354-1051"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "51 EMILY AVE",
"city": "ELMONT",
"state": "NY",
"postal_code": "110034219",
"telephone_number": "516-354-1051"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUCIEN",
"first_name": "MARIE",
"middle_name": "ROSE",
"name_prefix": "Ms.",
"credential": "TEACHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-12-04",
"last_updated": "2012-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "069058011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.