Individual provider Active NPI

Ligia Alejandra Salcedo-Ceron

  • Licensed Practical Nurse
  • Holbrook, NY
National Provider Identifier
1194140574
Registry record updated Feb 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
314871-1 Issued in NY
Practice address
235G Springmeadow Dr Unit G
Holbrook, NY 11741-4140
Phone
(631) 487-4039
NPI assigned
Feb 21, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 314871-1 NY Primary

Addresses

Primary practice location

235G Springmeadow Dr Unit G
Holbrook, NY 11741-4140

Mailing address

235G Springmeadow Dr Unit G
Holbrook, NY 11741-4140
Phone (631) 487-4039

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
314871-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1392940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392940800000",
    "number": "1194140574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235G SPRINGMEADOW DR UNIT G",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414140",
            "telephone_number": "631-487-4039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235G SPRINGMEADOW DR UNIT G",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414140",
            "telephone_number": "631-487-4039"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALCEDO-CERON",
        "first_name": "LIGIA",
        "middle_name": "ALEJANDRA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-21",
        "last_updated": "2014-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "314871-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holbrook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2014; 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.