Individual provider Active NPI

Maria Christina Comillas, RN

  • Infection Control Registered Nurse
  • Port Jefferson, NY
National Provider Identifier
1346984002
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infection Control Registered NurseTaxonomy code 163WI0600X
License
595560 Issued in NY
Practice address
150 Dark Hollow Rd
Port Jefferson, NY 11777-2048
Phone
(631) 473-5400
NPI assigned
Apr 27, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infection Control Registered Nurse 163WI0600X 595560 NY Primary

Addresses

Primary practice location

150 Dark Hollow Rd
Port Jefferson, NY 11777-2048

Mailing address

150 Dark Hollow Rd
Port Jefferson, NY 11777-2048
Phone (631) 473-5400

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address mcomillas@watersedgernc.com Direct
Direct Messaging Address mcomillas@watersedgernc.com Direct

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
595560NYMDInfection Control Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1651017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1346984002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 DARK HOLLOW RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772048",
            "telephone_number": "631-473-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 DARK HOLLOW RD",
            "city": "PORT JEFFERSON",
            "state": "NY",
            "postal_code": "117772048",
            "telephone_number": "631-473-5400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMILLAS",
        "first_name": "MARIA",
        "middle_name": "CHRISTINA",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-27",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WI0600X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infection Control",
            "state": "NY",
            "license": "595560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcomillas@watersedgernc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Dark Hollow Rd",
            "city": "Port Jefferson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117772048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mcomillas@watersedgernc.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "150 Dark Hollow Rd",
            "city": "Port Jefferson",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117772048",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Port Jefferson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2022; 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.