Carol Grace Bishop, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

348646 Issued in NY

Practice address

180 Adams St E
East Islip, NY 11730-1624

Phone

(631) 219-0947

NPI assigned

Aug 10, 2023

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

Other names 1

• Carol Grace Antonowicz Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1598448979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 ADAMS ST E",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301624",
            "telephone_number": "631-219-0947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 ADAMS ST E",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301624",
            "telephone_number": "631-219-0947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "CAROL",
        "middle_name": "GRACE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "348646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "ANTONOWICZ",
            "middle_name": "GRACE",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Suzanne Mary Bevis, LCSW
• Karen Ann Bianchi, RN
• Brooke L Bickford
• Edward J Bieniewicz, MD
• Lauren Bilello, M.S., SLP
• Stanley Blyskal, M.D.
• Julie Boerger, D.M.D.
• Linda O Bogarowski
• Victoria Bonomo, NP
• Laura Kristine Bowen, D.C.

• General Practice Registered Nurse in East Islip, NY
• Providers in East Islip, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.