Individual provider Active NPI

Patricia Ciampa, RN, BSN

  • Registered Nurse
  • New York, NY
National Provider Identifier
1386894491
Registry record updated Sep 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
522420 Issued in NY
Practice address
352 W 110TH St
Suite 14B
New York, NY 10025-2637
Phone
(212) 767-9239
Fax
(212) 280-1629
NPI assigned
Sep 25, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 522420 NY Primary
Registered Nurse 163W00000X 26NR13558800 NJ

Addresses

Primary practice location

352 W 110TH St
Suite 14B
New York, NY 10025-2637

Mailing address

352 W 110TH St
Suite 14B
New York, NY 10025-2637
Phone (212) 767-9239

Other names 1

  • Mrs. Patricia Edris Other name

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
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
26NR13558800NJMDRegistered Nurse
522420NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1222300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222300800000",
    "number": "1386894491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 W 110TH ST",
            "address_2": "SUITE 14B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252637",
            "telephone_number": "212-767-9239",
            "fax_number": "212-280-1629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 W 110TH ST",
            "address_2": "SUITE 14B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100252637",
            "telephone_number": "212-767-9239",
            "fax_number": "212-280-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIAMPA",
        "first_name": "PATRICIA",
        "credential": "RN, BSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-25",
        "last_updated": "2008-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "522420",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR13558800",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PATRICIA",
            "last_name": "EDRIS",
            "prefix": "MRS.",
            "credential": "RN, BSN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2008; 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.