Individual provider Active NPI

Emily Chiominto

  • Registered Nurse
  • Centereach, NY
National Provider Identifier
1356790216
Registry record updated Jun 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
714852 Issued in NY
Practice address
4 Paul CT
Centereach, NY 11720-4381
Phone
(631) 816-5088
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
714852NYMDRegistered Nurse

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 714852 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

4 Paul CT
Centereach, NY 11720-4381

Mailing address

4 Paul CT
Centereach, NY 11720-4381
Phone (631) 816-5088

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 10, 2016.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465516800000",
    "number": "1356790216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PAUL CT",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204381",
            "telephone_number": "631-816-5088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PAUL CT",
            "city": "CENTEREACH",
            "state": "NY",
            "postal_code": "117204381",
            "telephone_number": "631-816-5088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIOMINTO",
        "first_name": "EMILY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2016-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "714852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centereach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2016; 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.