Active NPI
Rose Marie Witek RN,BSN
- Home Infusion Agency
- Lake Grove, NY
National Provider Identifier
1447672852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Infusion Agency
- License
- 384875-1
- Legal business name
- ROSE MARIE WITEK RN,BSN
- Practice address
- 109 Virginia Ave
Lake Grove, NY 11755-2824 - Phone
- (631) 487-6512
- Fax
- (631) 487-6512
- NPI assigned
- Jan 21, 2014
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rose Marie Witek, REGISTEED NURSE
- Title
- IV Specialist
- Phone
- (631) 487-6512
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Infusion Agency | 251F00000X | 384875-1 | NY | Primary |
Addresses
Primary practice location
109 Virginia Ave
Lake Grove, NY 11755-2824
Mailing address
109 Virginia Ave
Lake Grove, NY 11755-2824
Phone (631) 487-6512
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1390262400000",
"number": "1447672852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 VIRGINIA AVE",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552824",
"telephone_number": "631-487-6512",
"fax_number": "631-487-6512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "109 VIRGINIA AVE",
"city": "LAKE GROVE",
"state": "NY",
"postal_code": "117552824",
"telephone_number": "631-487-6512",
"fax_number": "631-487-6512"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROSE MARIE WITEK RN,BSN",
"organizational_subpart": "NO",
"enumeration_date": "2014-01-21",
"last_updated": "2014-01-21",
"status": "A",
"authorized_official_last_name": "WITEK",
"authorized_official_first_name": "ROSE",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "IV SPECIALIST",
"authorized_official_telephone_number": "631-487-6512",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "REGISTEED NURSE"
},
"taxonomies": [
{
"code": "251F00000X",
"taxonomy_group": "",
"desc": "Home Infusion",
"state": "NY",
"license": "384875-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Grove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.