Individual provider Active NPI

Arlene Mary Kuchcicki, REGISTERED NURSE

  • Registered Nurse
  • Roslyn Heights, NY
National Provider Identifier
1346519345
Registry record updated Dec 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
491139-1 Issued in NY
Practice address
455 I U Willets Rd
Roslyn Heights, NY 11577-2823
Phone
(516) 333-8797
Fax
(516) 333-8915
NPI assigned
Dec 20, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2011

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 491139-1 NY Primary

Addresses

Primary practice location

455 I U Willets Rd
Roslyn Heights, NY 11577-2823

Mailing address

469 Woodbridge LN
Jericho, NY 11753-2630
Phone (516) 433-2861

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
491139-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1324339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324339200000",
    "number": "1346519345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "469 WOODBRIDGE LN",
            "city": "JERICHO",
            "state": "NY",
            "postal_code": "117532630",
            "telephone_number": "516-433-2861",
            "fax_number": "516-333-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 I U WILLETS RD",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115772823",
            "telephone_number": "516-333-8797",
            "fax_number": "516-333-8915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUCHCICKI",
        "first_name": "ARLENE",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-20",
        "last_updated": "2011-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "491139-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2011; 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.