Individual provider Active NPI

Lauren Dimuro, RN

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1649697186
Registry record updated Mar 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
681792 Issued in NY
Practice address
1030 Vincent Ave
Bronx, NY 10465-1525
Phone
(646) 302-4348
NPI assigned
Mar 22, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 681792 NY Primary

Addresses

Primary practice location

1030 Vincent Ave
Bronx, NY 10465-1525

Mailing address

1030 Vincent Ave
Bronx, NY 10465-1525
Phone (646) 302-4348

Other identifiers 1

IdentifierTypeStateIssuer
681792OtherNYDEPARTMENT OF EDUCATION- RN LICENSE

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
681792NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1395446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395446400000",
    "number": "1649697186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 VINCENT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651525",
            "telephone_number": "646-302-4348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 VINCENT AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104651525",
            "telephone_number": "646-302-4348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMURO",
        "first_name": "LAUREN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-22",
        "last_updated": "2014-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "681792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF EDUCATION- RN LICENSE",
            "identifier": "681792",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2014; 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.