Virginia Mahnken Ms, RN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

399791-1 Issued in NY

Legal business name

VIRGINIA MAHNKEN MS, RN

Practice address

475 Clubhouse Dr
Patchogue, NY 11772-8205

Phone

(631) 317-3085

Fax

(631) 317-3085

NPI assigned

Feb 28, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Virginia Mahnken, MS, RN

Title

Registered Nurse

Phone

(631) 317-3085

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1488240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488240000000",
    "number": "1346780079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 CLUBHOUSE DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728205",
            "telephone_number": "631-317-3085",
            "fax_number": "631-317-3085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 CLUBHOUSE DR",
            "city": "PATCHOGUE",
            "state": "NY",
            "postal_code": "117728205",
            "telephone_number": "631-317-3085",
            "fax_number": "631-317-3085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGINIA MAHNKEN MS, RN",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-28",
        "last_updated": "2017-02-28",
        "status": "A",
        "authorized_official_last_name": "MAHNKEN",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "REGISTERED NURSE",
        "authorized_official_telephone_number": "631-317-3085",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MS, RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "399791-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "163WHO200X",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carolyn Vella, CASAC
• Andre Michael Venner, MS, LAT, ATC
• Theresa Vertullo, PNP
• Jennifer Smith Vest, OTR/L
• Michelle Virga, LCSW
• Michael Volpe, D.O
• Patricia A Volpe, LCSW-R
• Diane Elizabeth Wahne, PMHNP
• Eyal Dov Waldman, D.M.D.
• Walgreen Co

• Home Health Agency in Patchogue, NY
• Providers in Patchogue, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.