Individual provider Active NPI

Dorcas Sumawang Valcin, RN

  • Licensed Practical Nurse
  • North Babylon, NY
National Provider Identifier
1629410576
Registry record updated Jul 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
427919-1 Issued in NY
Practice address
233 Erlanger Blvd
North Babylon, NY 11703-1006
Phone
(732) 642-9515
NPI assigned
Jul 20, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2013

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 427919-1 NY Primary

Addresses

Primary practice location

233 Erlanger Blvd
North Babylon, NY 11703-1006

Mailing address

233 Erlanger Blvd
North Babylon, NY 11703-1006
Phone (732) 642-9515

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

LicenseStateTypeSpecialty
427919-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1374278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1374278400000",
    "number": "1629410576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 ERLANGER BLVD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031006",
            "telephone_number": "732-642-9515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 ERLANGER BLVD",
            "city": "NORTH BABYLON",
            "state": "NY",
            "postal_code": "117031006",
            "telephone_number": "732-642-9515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALCIN",
        "first_name": "DORCAS",
        "middle_name": "SUMAWANG",
        "name_prefix": "Miss",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-20",
        "last_updated": "2013-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "427919-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Babylon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2013; 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.