Individual provider Active NPI

Cheryl N Capek, R.N.

  • Registered Nurse
  • Lake Grove, NY
National Provider Identifier
1235384975
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
346140-1 Issued in NY
Practice address
57 Lakeside Avenue
Lake Grove, NY 11755-1801
Phone
(631) 737-0569
NPI assigned
Nov 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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 346140-1 NY Primary

Addresses

Primary practice location

57 Lakeside Avenue
Lake Grove, NY 11755-1801

Mailing address

57 Lakeside Avenue
Lake Grove, NY 11755-1801
Phone (631) 737-0569

Other names 1

  • Mrs. Cheryl N Stonborg 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
346140-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1227225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1235384975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LAKESIDE AVENUE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551801",
            "telephone_number": "631-737-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 LAKESIDE AVENUE",
            "city": "LAKE GROVE",
            "state": "NY",
            "postal_code": "117551801",
            "telephone_number": "631-737-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAPEK",
        "first_name": "CHERYL",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-21",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "346140-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHERYL",
            "last_name": "STONBORG",
            "middle_name": "N",
            "prefix": "MRS.",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Grove, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2008; 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.