Angelina Kalodukas, LPN NURSE

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

10-267792 Issued in NY

Practice address

7 E 8TH St
Huntington Station, NY 11746-1812

Phone

(631) 697-1080

NPI assigned

Jun 7, 2016

Last updated

Jun 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1336598770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 E 8TH ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461812",
            "telephone_number": "631-697-1080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 E 8TH ST",
            "city": "HUNTINGTON STATION",
            "state": "NY",
            "postal_code": "117461812",
            "telephone_number": "631-697-1080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALODUKAS",
        "first_name": "ANGELINA",
        "credential": "LPN NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "10-267792",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suja S Johnkutty, MD
• Danielle Nicole Johnson
• Kaitlyn Jordan
• Neslie Joseph-Charles, LPN
• Jorge A Jurado, RN
• Nicole Kaminski, NP
• Anna Kandias, M.S., CCC-SLP
• Kane Dental of Huntington
• Rebekah Kane, DDS
• Juliana Kanji, MD

• Licensed Practical Nurse in Huntington Station, NY
• Providers in Huntington Station, 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 Jun 7, 2016; 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.