Individual provider Active NPI

Eva Dorcelus, REGISTERED NURSE

  • Registered Nurse
  • East Elmhurst, NY
National Provider Identifier
1366904898
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
808794 Issued in NY
Practice address
1010 Hazen St
East Elmhurst, NY 11370-1355
Phone
(347) 774-8766
NPI assigned
Apr 3, 2019
Last updated
May 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2026

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 808794 NY Primary

Addresses

Primary practice location

1010 Hazen St
East Elmhurst, NY 11370-1355

Mailing address

154 Rockaway Pkwy Apt 8a
Brooklyn, NY 11212-3607
Phone (718) 809-8408

Other practice location 1

728 E 233rd St
Bronx, NY 10466-3202
Phone (347) 899-8620

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL connecturl

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
808794NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Purple Dove Community Care Agency Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1366904898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "154 ROCKAWAY PKWY APT 8A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112123607",
            "telephone_number": "718-809-8408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 HAZEN ST",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701355",
            "telephone_number": "347-774-8766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "728 E 233rd St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104663202",
            "country_code": "US",
            "telephone_number": "347-899-8620",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DORCELUS",
        "first_name": "EVA",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "808794",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "connecturl",
            "affiliation": "N",
            "address_1": "728 E 233rd St",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104663202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.