Michele Grace Boncek, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

2720241 Issued in NY

Practice address

437 Parksville Rd
Daytop Village Inc
Parksville, NY 12768

Phone

(845) 292-6372

Fax

(845) 292-7330

NPI assigned

Aug 4, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daytop Village, Inc.

  • Substance Abuse Rehabilitation Facility
  • Parksville, NY
  • NPI 1477674703
  NPD (past)

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497763346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 90",
            "address_2": "10 SAWMILL RD",
            "city": "CLARYVILLE",
            "state": "NY",
            "postal_code": "12725",
            "telephone_number": "845-985-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "437 PARKSVILLE RD",
            "address_2": "DAYTOP VILLAGE INC",
            "city": "PARKSVILLE",
            "state": "NY",
            "postal_code": "12768",
            "telephone_number": "845-292-6372",
            "fax_number": "845-292-7330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BONCEK",
        "first_name": "MICHELE",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "2720241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Faye Alper Waxman
• Evan Alpert, MD
• Alice J Bose, LPN
• Camp Hasc, Inc.
• Dianne T Cunningham
• Elizabeth A Davis, OTR/L
• Daytop Village, Inc.

• Registered Nurse in Parksville, NY
• Providers in Parksville, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.