Individual provider Active NPI

Evelyn Teresa Cuomo, R.N.

  • Registered Nurse
  • Babylon, NY
National Provider Identifier
1487854873
Registry record updated Aug 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
3081291 Issued in NY
Practice address
181 W Main St
Amhc Office
Babylon, NY 11702-3435
Phone
(631) 422-2300
Fax
(631) 360-3982
NPI assigned
Jul 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 3081291 NY Primary
Exclusive Provider Organization 302F00000X 308129-1 NY

Addresses

Primary practice location

181 W Main St
Amhc Office
Babylon, NY 11702-3435

Mailing address

181 W Main St
Amhc Office
Babylon, NY 11702-3435
Phone (631) 422-2300

Other names 1

  • Miss Evelyn Teresa Fitzsimmons Former 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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
3081291NYMDRegistered Nurse
308129-1NYMDExclusive Provider Organization

NPI Registry JSON

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

{
    "created_epoch": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1218240000000",
    "number": "1487854873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 W MAIN ST",
            "address_2": "AMHC OFFICE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023435",
            "telephone_number": "631-422-2300",
            "fax_number": "631-360-3982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 W MAIN ST",
            "address_2": "AMHC OFFICE",
            "city": "BABYLON",
            "state": "NY",
            "postal_code": "117023435",
            "telephone_number": "631-422-2300",
            "fax_number": "631-360-3982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUOMO",
        "first_name": "EVELYN",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-23",
        "last_updated": "2008-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3081291",
            "primary": true
        },
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": "NY",
            "license": "308129-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "FITZSIMMONS",
            "middle_name": "TERESA",
            "prefix": "MISS",
            "credential": "R.N.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2008; 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.