Individual provider Active NPI

Marilin Sagastume Fenelus

  • Registered Nurse
  • Spring Valley, NY
National Provider Identifier
1578474888
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
N56908 Issued in NY
Practice address
42 N Main St
Spring Valley, NY 10977-4906
Phone
(845) 327-7493
NPI assigned
Sep 15, 2026
Sex
Unspecified or another gender identity
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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 N56908 NY Primary

Addresses

Primary practice location

42 N Main St
Spring Valley, NY 10977-4906

Mailing address

42 N Main St
Spring Valley, NY 10977-4906

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1789430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1578474888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 N MAIN ST",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109774906",
            "telephone_number": "845-327-7493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAGASTUME FENELUS",
        "first_name": "MARILIN",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2026-09-15",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "N56908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring Valley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.