Active NPI
Thelma Centinella Isaac
- Registered Nurse
- Glendale, NY
National Provider Identifier
1346559838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 210005-1
- Practice address
- 68-20-Myrtle Ave
St. Pancras
Glendale, NY 11385-7298 - Phone
- (718) 628-5648
- NPI assigned
- Sep 30, 2010
- Last updated
- Sep 30, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 210005-1 | NY | Primary |
Addresses
Primary practice location
68-20-Myrtle Ave
St. Pancras
Glendale, NY 11385-7298
Mailing address
115-115-230TH Street
Cambria Heights, NY 11411
Phone (718) 978-1356
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
| License | State | Type | Specialty |
|---|---|---|---|
| 210005-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1285804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285804800000",
"number": "1346559838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115-115-230TH STREET",
"city": "CAMBRIA HEIGHTS",
"state": "NY",
"postal_code": "11411",
"telephone_number": "718-978-1356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "68-20-MYRTLE AVE",
"address_2": "ST. PANCRAS",
"city": "GLENDALE",
"state": "NY",
"postal_code": "113857298",
"telephone_number": "718-628-5648"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISAAC",
"first_name": "THELMA",
"middle_name": "CENTINELLA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-30",
"last_updated": "2010-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "210005-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.