Individual provider Active NPI

Jane Novo

  • Licensed Practical Nurse
  • Farmingville, NY
National Provider Identifier
1447518360
Registry record updated Apr 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
262538 Issued in NY
Practice address
48 Rosemont Ave
Farmingville, NY 11738-2029
Phone
(631) 512-1839
NPI assigned
Apr 28, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2012

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 262538 NY Primary

Addresses

Primary practice location

48 Rosemont Ave
Farmingville, NY 11738-2029

Mailing address

48 Rosemont Ave
Farmingville, NY 11738-2029

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
262538NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1335571200000",
    "number": "1447518360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 ROSEMONT AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 ROSEMONT AVE",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382029",
            "telephone_number": "631-512-1839"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOVO",
        "first_name": "JANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2012-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "262538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2012; 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.