Individual provider Active NPI

Rebecca Quirindongo, LPN

  • Licensed Practical Nurse
  • Nesconset, NY
National Provider Identifier
1407164239
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
228777-1 Issued in NY
Practice address
7 Cobblestone CT
Nesconset, NY 11767-2085
Phone
(631) 265-0563
NPI assigned
Sep 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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 228777-1 NY Primary

Addresses

Primary practice location

7 Cobblestone CT
Nesconset, NY 11767-2085

Mailing address

7 Cobblestone CT
Nesconset, NY 11767-2085
Phone (631) 265-0563

Other names 1

  • Rebecca McDonald 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

State licenses

LicenseStateTypeSpecialty
228777-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1284422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284422400000",
    "number": "1407164239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 COBBLESTONE CT",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672085",
            "telephone_number": "631-265-0563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 COBBLESTONE CT",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117672085",
            "telephone_number": "631-265-0563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIRINDONGO",
        "first_name": "REBECCA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-14",
        "last_updated": "2010-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "228777-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "MCDONALD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Nesconset, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2010; 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.