Individual provider Active NPI

Catherine Setkowsky, RN

  • Addiction (Substance Use Disorder) Registered Nurse
  • Bellport, NY
National Provider Identifier
1659453132
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) Registered NurseTaxonomy code 163WA0400X
License
232827-1 Issued in NY
Practice address
11 Farber Dr
Unit D
Bellport, NY 11713-1500
Phone
(631) 286-0700
Fax
(631) 286-0688
NPI assigned
Oct 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X 232827-1 NY Primary

Addresses

Primary practice location

11 Farber Dr
Unit D
Bellport, NY 11713-1500

Mailing address

11 Farber Dr
Unit D
Bellport, NY 11713-1500
Phone (631) 286-0700

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
232827-1NYMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659453132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FARBER DR",
            "address_2": "UNIT D",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131500",
            "telephone_number": "631-286-0700",
            "fax_number": "631-286-0688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FARBER DR",
            "address_2": "UNIT D",
            "city": "BELLPORT",
            "state": "NY",
            "postal_code": "117131500",
            "telephone_number": "631-286-0700",
            "fax_number": "631-286-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SETKOWSKY",
        "first_name": "CATHERINE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "NY",
            "license": "232827-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.