Individual provider Active NPI

Esther Mae Platek, LICENSED PRACTICAL N

  • Licensed Practical Nurse
  • Rochester, NY
National Provider Identifier
1407094303
Registry record updated Jan 30, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
287121 Issued in NY
Practice address
4702-1 Dewey Ave
Rochester, NY 14612
Phone
(585) 254-2797
NPI assigned
Jan 30, 2009
Last updated
Jan 30, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 287121 NY Primary

Addresses

Primary practice location

4702-1 Dewey Ave
Rochester, NY 14612

Mailing address

3800 Dewey Avenue
#235
Rochester, NY 14616-4006
Phone (585) 254-2797

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
287121NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1233273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233273600000",
    "number": "1407094303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 DEWEY AVENUE",
            "address_2": "#235",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146164006",
            "telephone_number": "585-254-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702-1 DEWEY AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "14612",
            "telephone_number": "585-254-2797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLATEK",
        "first_name": "ESTHER",
        "middle_name": "MAE",
        "name_prefix": "Mrs.",
        "credential": "LICENSED PRACTICAL N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-30",
        "last_updated": "2009-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "287121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.