Individual provider Active NPI

Gemma Mary Atlagh, RN

  • Registered Nurse
  • New Hyde Park, NY
National Provider Identifier
1194181875
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
443991 Issued in NY
Practice address
1620 Belmont Ave
New Hyde Park, NY 11040-4306
Phone
(917) 667-9199
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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 443991 NY Primary

Addresses

Primary practice location

1620 Belmont Ave
New Hyde Park, NY 11040-4306

Mailing address

1620 Belmont Ave
New Hyde Park, NY 11040-4306
Phone (917) 667-9199

Other identifiers 1

IdentifierTypeStateIssuer
305964882OtherNYDRIVERS LIC #

Other names 1

  • Miss Gemma Mary Corridan Former name

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
443991NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1194181875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 BELMONT AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404306",
            "telephone_number": "917-667-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 BELMONT AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110404306",
            "telephone_number": "917-667-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATLAGH",
        "first_name": "GEMMA",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "443991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LIC #",
            "identifier": "305964882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GEMMA",
            "last_name": "CORRIDAN",
            "middle_name": "MARY",
            "prefix": "MISS",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Hyde Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2016; 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.