Active NPI
Fiona Melissa Ortiz
- Gerontology Registered Nurse
- Patchogue, NY
National Provider Identifier
1639654023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Registered Nurse
- License
- 598756
- Practice address
- 475 E Main St Ste 216
Patchogue, NY 11772-3121 - Phone
- (631) 699-2160
- NPI assigned
- Oct 1, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gerontology Registered Nurse | 163WG0600X | 598756 | NY | Primary |
Addresses
Primary practice location
475 E Main St Ste 216
Patchogue, NY 11772-3121
Mailing address
475 E Main St Ste 216
Patchogue, NY 11772-3121
Phone (631) 699-2160
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
| License | State | Type | Specialty |
|---|---|---|---|
| 598756 | NY | MD | Gerontology Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MZL Home Care Agency LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Home Health Agency
- Patchogue, NY
- NPI 1265761191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538352000000",
"number": "1639654023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 E MAIN ST STE 216",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723121",
"telephone_number": "631-699-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 E MAIN ST STE 216",
"city": "PATCHOGUE",
"state": "NY",
"postal_code": "117723121",
"telephone_number": "631-699-2160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ORTIZ",
"first_name": "FIONA",
"middle_name": "MELISSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-01",
"last_updated": "2018-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "163WG0600X",
"taxonomy_group": "",
"desc": "Registered Nurse, Gerontology",
"state": "NY",
"license": "598756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Patchogue, NY
- Jason Adam Olszewski, RN
- Oreste Dental Practice PC Dba Sunset Dental Care (Sunset Dental Care)
- Debra Oreste
- Orthopedic Assoc of Long Island Physicians & Medical Group PLLC
- Orthopedic Associates of Long Island, LLC
- Jill J Ottaviano
- Linda Overton
- P.T.C Medical, P.C.
- Paak Pharmacy Inc (112 Pharmacy & Surgical)
- Barbara Pagliaro, CASAC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.