Cammie Lynn Passini, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

294804 Issued in NY

Practice address

9 Newport Beach Blvd
East Moriches, NY 11940-1576

Phone

(631) 413-8588

NPI assigned

Oct 17, 2008

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Oct 17, 2008.

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224201600000",
    "number": "1295987550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NEWPORT BEACH BLVD",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 NEWPORT BEACH BLVD",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "119401576",
            "telephone_number": "631-413-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASSINI",
        "first_name": "CAMMIE",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-17",
        "last_updated": "2008-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "294804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ocean Spa Long Island, LLC
• Amanda Osorio
• Melanie Marlene Palmaccio, COTA
• Wendy Parra Cuzco
• Megan Passarelle, PT
• Steven John Pesce, MD
• Alexander M Piekarski, PH.D.
• Danielle Marie Pollaro, FNP
• Theresa M Procida, MSW, R-LCSW, CASAC
• Vita Frances Pulver, PTA

• All providers in East Moriches, NY
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.