Individual provider Active NPI

Elaine C Chinnock, LPN

  • Licensed Practical Nurse
  • Amityville, NY
National Provider Identifier
1649324054
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
207762-1 Issued in NY
Practice address
84 Locust Dr
Amityville, NY 11701-1728
Phone
(631) 608-3889
Fax
(631) 608-3889
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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 207762-1 NY Primary

Addresses

Primary practice location

84 Locust Dr
Amityville, NY 11701-1728

Mailing address

84 Locust Dr
Amityville, NY 11701-1728
Phone (631) 608-3889

Other identifiers 1

IdentifierTypeStateIssuer
01487094MedicaidNY

Other names 1

  • Elaine C Levy Former name

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
207762-1NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Efranlevy Inc Licensed Practical Nurse Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1649324054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 LOCUST DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011728",
            "telephone_number": "631-608-3889",
            "fax_number": "631-608-3889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 LOCUST DR",
            "city": "AMITYVILLE",
            "state": "NY",
            "postal_code": "117011728",
            "telephone_number": "631-608-3889",
            "fax_number": "631-608-3889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINNOCK",
        "first_name": "ELAINE",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "207762-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01487094",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELAINE",
            "last_name": "LEVY",
            "middle_name": "C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Amityville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.