Individual provider Active NPI

Debra Ciorciari, LPN

  • Licensed Practical Nurse
  • Whitestone, NY
National Provider Identifier
1619264777
Registry record updated Apr 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
303696 Issued in NY
Practice address
157-15 19TH Ave
Queens Center for Rehabilitation and Healthcare
Whitestone, NY 11357
Phone
(718) 326-1731
NPI assigned
Jul 8, 2011
Reactivated
Apr 11, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 303696 NY Primary

Addresses

Primary practice location

157-15 19TH Ave
Queens Center for Rehabilitation and Healthcare
Whitestone, NY 11357

Mailing address

7517 67TH Rd
1
Middle Village, NY 11379-2628

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
303696NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1310083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460332800000",
    "number": "1619264777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7517 67TH RD",
            "address_2": "1",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113792628"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157-15 19TH AVE",
            "address_2": "QUEENS CENTER FOR REHABILITATION AND HEALTHCARE",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "11357",
            "telephone_number": "718-326-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIORCIARI",
        "first_name": "DEBRA",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-08",
        "last_updated": "2016-04-11",
        "deactivation_date": "2014-08-27",
        "reactivation_date": "2016-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "303696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2016; 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.