Individual provider Active NPI

Dawn M Consiglio

  • Registered Nurse
  • Massapequa Park, NY
National Provider Identifier
1306236393
Registry record updated Jan 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4242961 Issued in NY
Practice address
4940 Merrick Rd # 120
Massapequa Park, NY 11762-3803
Phone
(516) 765-3964
NPI assigned
Jan 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2015

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 4242961 NY Primary

Addresses

Primary practice location

4940 Merrick Rd # 120
Massapequa Park, NY 11762-3803

Mailing address

4940 Merrick Rd # 120
Massapequa Park, NY 11762-3803
Phone (516) 765-3964

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
4242961NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1422403200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422403200000",
    "number": "1306236393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4940 MERRICK RD # 120",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623803",
            "telephone_number": "516-765-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4940 MERRICK RD # 120",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117623803",
            "telephone_number": "516-765-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONSIGLIO",
        "first_name": "DAWN",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-28",
        "last_updated": "2015-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "4242961",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2015; 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.