Magalie Desulme, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

267429 Issued in NY

Practice address

55 Ford Dr W
Massapequa, NY 11758

Phone

(516) 797-1910

NPI assigned

Nov 10, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1226275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1225282866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FORD DR W",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117583724",
            "telephone_number": "516-797-1910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FORD DR W",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "11758",
            "telephone_number": "516-797-1910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESULME",
        "first_name": "MAGALIE",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-10",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "267429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LPN LICENSE NUMBER",
            "identifier": "267429",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Jessica Depinto
• Paul Dequillfeldt, ATC
• Donna Marie Desena, OTR/L
• Puja Vilas Deshpande, PHARM D
• Flore Bertura Dessappe
• Kate Devaney, LCSW-R
• Jillian Barbara Devita
• Joseph Salvatore Devito, M.D.
• DGR Podiatry Surgery PC
• Frank Patrick Di Blasi, DDS

• Licensed Practical Nurse in Massapequa, NY
• Providers in Massapequa, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.