Denise Marga Dickhut, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

350365-01 Issued in NY

Practice address

168 Southaven Ave
Medford, NY 11763-4056

Phone

(516) 779-2972

NPI assigned

Jun 13, 2024

Last updated

May 12, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1718236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1558104158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 SOUTHAVEN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634056",
            "telephone_number": "516-779-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 SOUTHAVEN AVE",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117634056",
            "telephone_number": "516-779-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICKHUT",
        "first_name": "DENISE",
        "middle_name": "MARGA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-13",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "350365-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Licensed Practical Nurse in Medford, NY
• Providers in Medford, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.