Individual provider Active NPI

Erica Damas, LPN

  • Licensed Practical Nurse
  • Bay Shore, NY
National Provider Identifier
1629396593
Registry record updated May 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
301047-1 Issued in NY
Practice address
1684 Manatuck Blvd
Bay Shore, NY 11706-1557
Phone
(631) 813-3473
Fax
(631) 245-6639
NPI assigned
May 17, 2010
Last updated
May 17, 2010By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2010

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 301047-1 NY Primary

Addresses

Primary practice location

1684 Manatuck Blvd
Bay Shore, NY 11706-1557

Mailing address

1684 Manatuck Blvd
Bay Shore, NY 11706-1557
Phone (631) 813-3473

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
301047-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1274054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274054400000",
    "number": "1629396593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1684 MANATUCK BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061557",
            "telephone_number": "631-813-3473",
            "fax_number": "631-245-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1684 MANATUCK BLVD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117061557",
            "telephone_number": "631-813-3473",
            "fax_number": "631-245-6639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAMAS",
        "first_name": "ERICA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-17",
        "last_updated": "2010-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "301047-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2010; 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.