Individual provider Active NPI

Regina Mott, REGISTERED NURSE

  • Registered Nurse
  • West Babylon, NY
National Provider Identifier
1518543602
Registry record updated Mar 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
357218-1 Issued in NY
Practice address
134 Great East Neck Rd
West Babylon, NY 11704-8027
Phone
(631) 422-4800
Fax
(631) 422-6484
NPI assigned
Mar 20, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2021

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 357218-1 NY Primary

Addresses

Primary practice location

134 Great East Neck Rd
West Babylon, NY 11704-8027

Mailing address

134 Great East Neck Rd
West Babylon, NY 11704-8027
Phone (631) 422-4800

Other identifiers 1

IdentifierTypeStateIssuer
13-4261026OtherNYREGINA MOTT

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL email Direct
CONNECT URL email Direct

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
357218-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1616198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616198400000",
    "number": "1518543602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048027",
            "telephone_number": "631-422-4800",
            "fax_number": "631-422-6484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 GREAT EAST NECK RD",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117048027",
            "telephone_number": "631-422-4800",
            "fax_number": "631-422-6484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOTT",
        "first_name": "REGINA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-20",
        "last_updated": "2021-03-20",
        "certification_date": "2021-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "357218-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGINA MOTT",
            "identifier": "13-4261026",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "kpowers@cassenacare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "134 Great East Neck Rd",
            "city": "West Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117048027",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "email",
            "affiliation": "N",
            "endpointDescription": "kpowers@cassenacare.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "134 Great East Neck Rd",
            "city": "West Babylon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117048027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2021; 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.