Active NPI
Katelyn Paige Bogi, NURSE
- Licensed Practical Nurse
- Wyandanch, NY
National Provider Identifier
1427649979
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 327870
- Practice address
- 240 Long Island Ave
Wyandanch, NY 11798-3123 - Phone
- (631) 236-4325
- Fax
- (631) 514-3026
- NPI assigned
- Jan 28, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 327870 | NY | Primary |
Addresses
Primary practice location
240 Long Island Ave
Wyandanch, NY 11798-3123
Mailing address
240 Long Island Ave
Wyandanch, NY 11798-3123
Phone (631) 236-4325
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 328870 | Medicaid | NY |
Other names 1
- Mrs. Katelyn Paige Piccolo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kbogi1029@fedoforg.org | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 327870 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1611792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611792000000",
"number": "1427649979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 LONG ISLAND AVE",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983123",
"telephone_number": "631-236-4325",
"fax_number": "631-514-3026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "240 LONG ISLAND AVE",
"city": "WYANDANCH",
"state": "NY",
"postal_code": "117983123",
"telephone_number": "631-236-4325",
"fax_number": "631-514-3026"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BOGI",
"first_name": "KATELYN",
"middle_name": "PAIGE",
"credential": "NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-01-28",
"last_updated": "2021-01-28",
"certification_date": "2021-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "327870",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "328870",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kbogi1029@fedoforg.org",
"affiliation": "N",
"endpointDescription": "work email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "240 Long Island Ave",
"city": "Wyandanch",
"state": "NY",
"country_code": "US",
"postal_code": "117983123",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KATELYN",
"last_name": "PICCOLO",
"middle_name": "PAIGE",
"prefix": "MRS.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Wyandanch, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.