Individual provider Active NPI

Christine Jackson-Allocco

  • Registered Nurse
  • Rockaway PT, NY
National Provider Identifier
1194047621
Registry record updated Feb 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
621585 Issued in NY
Practice address
59 Hillside Ave
Rockaway PT, NY 11697-2205
Phone
(718) 634-4717
NPI assigned
Feb 25, 2010
Last updated
Feb 25, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2010

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 621585 NY Primary

Addresses

Primary practice location

59 Hillside Ave
Rockaway PT, NY 11697-2205

Mailing address

59 Hillside Ave
Rockaway PT, NY 11697-2205
Phone (718) 634-4717

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

LicenseStateTypeSpecialty
621585NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267056000000",
    "number": "1194047621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 HILLSIDE AVE",
            "city": "ROCKAWAY PT",
            "state": "NY",
            "postal_code": "116972205",
            "telephone_number": "718-634-4717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 HILLSIDE AVE",
            "city": "ROCKAWAY PT",
            "state": "NY",
            "postal_code": "116972205",
            "telephone_number": "718-634-4717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON-ALLOCCO",
        "first_name": "CHRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2010-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "621585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockaway PT, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2010; 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.