Active NPI
Arturo Centenera Camacho, R.N.
- Home Health Registered Nurse
- Valley Stream, NY
National Provider Identifier
1578818878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Registered Nurse
- License
- 474925-1
- Practice address
- 204 E Melrose St
Valley Stream, NY 11580-4635 - Phone
- (516) 825-7917
- Fax
- (516) 825-7917
- NPI assigned
- Jul 23, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Registered Nurse | 163WH0200X | 474925-1 | NY | Primary |
Addresses
Primary practice location
204 E Melrose St
Valley Stream, NY 11580-4635
Mailing address
204 E Melrose St
Valley Stream, NY 11580-4635
Phone (516) 825-7917
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 474925-1 | NY | MD | Home Health Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1343001600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1343001600000",
"number": "1578818878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "204 E MELROSE ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804635",
"telephone_number": "516-825-7917",
"fax_number": "516-825-7917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 E MELROSE ST",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115804635",
"telephone_number": "516-825-7917",
"fax_number": "516-825-7917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "ARTURO",
"middle_name": "CENTENERA",
"name_prefix": "Mr.",
"credential": "R.N.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-23",
"last_updated": "2012-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163WH0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Home Health",
"state": "NY",
"license": "474925-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.