Individual provider Active NPI

Sharyn Pasaporte Rodillado, REGISTERED NURSE

  • Registered Nurse
  • Rocky Point, NY
National Provider Identifier
1346542636
Registry record updated Nov 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
586224 Issued in NY
Practice address
15A Vine Rd
Rocky Point, NY 11778-8922
Phone
(631) 506-9768
NPI assigned
Nov 19, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 19, 2010

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 586224 NY Primary

Addresses

Primary practice location

15A Vine Rd
Rocky Point, NY 11778-8922

Mailing address

15A Vine Rd
Rocky Point, NY 11778-8922
Phone (631) 506-9768

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
586224NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1290124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290124800000",
    "number": "1346542636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15A VINE RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788922",
            "telephone_number": "631-506-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A VINE RD",
            "city": "ROCKY POINT",
            "state": "NY",
            "postal_code": "117788922",
            "telephone_number": "631-506-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODILLADO",
        "first_name": "SHARYN",
        "middle_name": "PASAPORTE",
        "name_prefix": "Ms.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-11-19",
        "last_updated": "2010-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "586224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2010; 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.