Mary Alice Kacinski, R.N.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

388512-1 Issued in NY

Practice address

68 Cleveland Ave
Sayville, NY 11782-1323

Phone

(631) 589-6070

NPI assigned

Mar 4, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1528238771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 CLEVELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821323",
            "telephone_number": "631-589-6070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 CLEVELAND AVE",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821323",
            "telephone_number": "631-589-6070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACINSKI",
        "first_name": "MARY ALICE",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "388512-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02431863",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Flanagan LCSW, PC
• Judith A. Johnsen, MSW
• Jopal Sayville
• Johanne M. Judd, D.C.
• Nicole Just
• Georgios Katsamanis, RPH
• Kelly Christina Kavanagh, LMSW
• Yumiko Kawakami, PT
• Susan Keane, P.T.
• Keith Golka Physical Therapy

• Home Health Registered Nurse in Sayville, NY
• Providers in Sayville, NY by specialty
• Home Health Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.