Individual provider Active NPI

Barbara Augustowski Duffy, LPN

  • Licensed Practical Nurse
  • Manorville, NY
National Provider Identifier
1225330202
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
094056-1 Issued in NY
Practice address
10 Victoria LN
Manorville, NY 11949-2030
Phone
(631) 878-5904
Fax
(631) 775-8181
NPI assigned
Nov 24, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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 094056-1 NY Primary

Addresses

Primary practice location

10 Victoria LN
Manorville, NY 11949-2030

Mailing address

10 Victoria LN
Manorville, NY 11949-2030
Phone (631) 878-5904

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
094056-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1290556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1225330202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 VICTORIA LN",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492030",
            "telephone_number": "631-878-5904",
            "fax_number": "631-775-8181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 VICTORIA LN",
            "city": "MANORVILLE",
            "state": "NY",
            "postal_code": "119492030",
            "telephone_number": "631-878-5904",
            "fax_number": "631-775-8181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUGUSTOWSKI DUFFY",
        "first_name": "BARBARA",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-24",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "094056-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manorville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.