Individual provider Active NPI

Magdala Presimont

  • Registered Nurse
  • Westbury, NY
National Provider Identifier
1578885000
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
788201-01 Issued in NY
Practice address
233 Rushmore St
Westbury, NY 11590-3822
Phone
(516) 304-4492
NPI assigned
Feb 25, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 788201-01 NY Primary
Licensed Practical Nurse 164W00000X 300038 NY

Addresses

Primary practice location

233 Rushmore St
Westbury, NY 11590-3822

Mailing address

123 Claremont Ave
West Babylon, NY 11704-4012
Phone (516) 304-4492

Other practice location 1

123 Claremont Ave
West Babylon, NY 11704
Phone (516) 304-4492

Other identifiers 1

IdentifierTypeStateIssuer
1578885000MedicaidNY

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
788201-01NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
McKayla Homecare CurrentSince Sep 20, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1267056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1578885000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CLAREMONT AVE",
            "city": "WEST BABYLON",
            "state": "NY",
            "postal_code": "117044012",
            "telephone_number": "516-304-4492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 RUSHMORE ST",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115903822",
            "telephone_number": "516-304-4492"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Claremont Ave",
            "address_purpose": "LOCATION",
            "city": "West Babylon",
            "state": "NY",
            "postal_code": "11704",
            "country_code": "US",
            "telephone_number": "516-304-4492",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESIMONT",
        "first_name": "MAGDALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-25",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "788201-01",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "300038",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578885000",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.