Cynthia Lynn McDonald, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2404351 Issued in NY

Practice address

38 Harts Rd
East Moriches, NY 11940

Phone

(631) 878-8917

NPI assigned

Sep 6, 2007

Last updated

Sep 6, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Cynthia Lynn Holley Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189036800000",
    "number": "1659566305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 ISLIP STREET",
            "city": "HOLTSVILLE",
            "state": "NY",
            "postal_code": "11742",
            "telephone_number": "631-513-0808",
            "fax_number": "631-289-2979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 HARTS RD",
            "city": "EAST MORICHES",
            "state": "NY",
            "postal_code": "11940",
            "telephone_number": "631-878-8917"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "CYNTHIA",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-06",
        "last_updated": "2007-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2404351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02044948",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CYNTHIA",
            "last_name": "HOLLEY",
            "middle_name": "LYNN",
            "prefix": "MS.",
            "credential": "LPN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Erica Lee Mailand, MA
• Kathleen Frances Malsky, LCSW
• Krystie Leigh Manaro, FNP
• Kaitlyn Martin, RN
• William C McConnell, RN
• Dhiren Chhotalal Mehta, MD
• Ranjana D Mehta, MD
• Stuart J Menis, D.C.
• Francisco Manuel Mercado Bolivar
• Jason Meyer

• Licensed Practical Nurse in East Moriches, NY
• Providers in East Moriches, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 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.