Active NPI
Arlene Bazata Gernon, RN
- Registered Nurse
- Brentwood, NY
National Provider Identifier
1598036170
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 22 241070
- Practice address
- 52 Third Ave Felicio Administration BLDG
Brentwood Public Schools
Brentwood, NY 11717 - Phone
- (631) 434-2408
- NPI assigned
- Jan 13, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 22 241070 | NY | Primary |
Addresses
Primary practice location
52 Third Ave Felicio Administration BLDG
Brentwood Public Schools
Brentwood, NY 11717
Mailing address
52 Third Ave Felicio Administration BLDG
Brentwood Public Schools
Brentwood, NY 11717
Phone (631) 434-2408
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 22 241070 | Other | NY | NYS LICENSURE |
| 22 241070 | Other | NY | RN LICENSURE |
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 |
|---|---|---|---|
| 22 241070 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326412800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326412800000",
"number": "1598036170",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "52 THIRD AVE FELICIO ADMINISTRATION BLDG",
"address_2": "BRENTWOOD PUBLIC SCHOOLS",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-434-2408"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "52 THIRD AVE FELICIO ADMINISTRATION BLDG",
"address_2": "BRENTWOOD PUBLIC SCHOOLS",
"city": "BRENTWOOD",
"state": "NY",
"postal_code": "11717",
"telephone_number": "631-434-2408"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GERNON",
"first_name": "ARLENE",
"middle_name": "BAZATA",
"name_prefix": "Mrs.",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-01-13",
"last_updated": "2012-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "22 241070",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS LICENSURE",
"identifier": "22 241070",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN LICENSURE",
"identifier": "22 241070",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.