Individual provider Active NPI

Leah Rose Uliano

  • Specialist
  • Miller Place, NY
National Provider Identifier
1477041606
Registry record updated Apr 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3735734 Issued in NY
Practice address
22 Griffen CT
Miller Place, NY 11764-1432
Phone
(631) 793-2154
Fax
(631) 793-2154
NPI assigned
Apr 24, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 3735734 NY Primary

Addresses

Primary practice location

22 Griffen CT
Miller Place, NY 11764-1432

Mailing address

22 Griffen CT
Miller Place, NY 11764-1432
Phone (631) 793-2154

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
3735734NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1524528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524528000000",
    "number": "1477041606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 GRIFFEN CT",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641432",
            "telephone_number": "631-793-2154",
            "fax_number": "631-793-2154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 GRIFFEN CT",
            "city": "MILLER PLACE",
            "state": "NY",
            "postal_code": "117641432",
            "telephone_number": "631-793-2154",
            "fax_number": "631-793-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULIANO",
        "first_name": "LEAH",
        "middle_name": "ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-24",
        "last_updated": "2018-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "3735734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miller Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2018; 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.