Angelique Grace Scotto, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

243356 Issued in NY

Practice address

204 Saint Marks PL
East Meadow, NY 11554-1802

Phone

(516) 705-5784

NPI assigned

Apr 24, 2009

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

Other identifiers 1

Other names 1

• Mrs. Angelique Grace Hlavac Former name

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": "1240531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1257120000000",
    "number": "1386888089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 AMOS AVE",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722320",
            "telephone_number": "516-705-5784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 SAINT MARKS PL",
            "city": "EAST MEADOW",
            "state": "NY",
            "postal_code": "115541802",
            "telephone_number": "516-705-5784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTTO",
        "first_name": "ANGELIQUE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-24",
        "last_updated": "2009-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "243356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01767633",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELIQUE",
            "last_name": "HLAVAC",
            "middle_name": "GRACE",
            "prefix": "MRS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Justin Schwartz, PA
• Michael C Schwartz, MD
• Phyllis Schwartz, TEACHER
• Susan Schwarz, SLP
• Paul Scott, M.D.
• Bonnie Marianne Sear, MA, CCC-SLP
• Guylene Sebili, NP
• Elizabeth Seder, DPT
• Ghita Seffar
• Rena Seidemann, LMSW

• Licensed Practical Nurse in East Meadow, NY
• Providers in East Meadow, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.