Individual provider Active NPI

Guerino Tondreau, RN

  • Registered Nurse
  • Chestnut Ridge, NY
National Provider Identifier
1487911699
Registry record updated Apr 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
580369-1 Issued in NY
Practice address
11 Christine Dr
Chestnut Ridge, NY 10977-6802
Phone
(845) 620-7530
NPI assigned
Apr 13, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 580369-1 NY Primary

Addresses

Primary practice location

11 Christine Dr
Chestnut Ridge, NY 10977-6802

Mailing address

11 Christine Dr
Chestnut Ridge, NY 10977-6802
Phone (845) 620-7530

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
580369-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334275200000",
    "number": "1487911699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 CHRISTINE DR",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776802",
            "telephone_number": "845-620-7530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 CHRISTINE DR",
            "city": "CHESTNUT RIDGE",
            "state": "NY",
            "postal_code": "109776802",
            "telephone_number": "845-620-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TONDREAU",
        "first_name": "GUERINO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-13",
        "last_updated": "2012-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "580369-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chestnut Ridge, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.