Aliza Dianne Chiquitucto, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

636154 Issued in NY

Practice address

310 Forsythe Ave
Lindenhurst, NY 11757-2204

Phone

(516) 554-1209

NPI assigned

May 4, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1304467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1376835611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 HAGERMAN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117632131",
            "telephone_number": "516-554-1209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FORSYTHE AVE",
            "city": "LINDENHURST",
            "state": "NY",
            "postal_code": "117572204",
            "telephone_number": "516-554-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIQUITUCTO",
        "first_name": "ALIZA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-05-04",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "636154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerri- Ann Champness
• Johanna Ruth Champney, OTR/L
• Ewa Chetnik
• Chinese Natural Center Inc.
• Christina Nicole Chiofalo, NP
• Alison Choa, M.D.
• Debra Ann Christiansen, C.O.T.A.
• Alissa Christofey
• Christos Vasakiris DC PC
• Marissa Jean Ciambra, LPN

• Registered Nurse in Lindenhurst, NY
• Providers in Lindenhurst, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.