Individual provider Active NPI

Elif Sengul Ozdemir

  • Case Manager/Care Coordinator
  • Ronkonkoma, NY
National Provider Identifier
1679965628
Registry record updated Feb 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
2390 Chestnut Ave
Ronkonkoma, NY 11779-6506
Phone
(631) 806-7890
NPI assigned
Feb 28, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

2390 Chestnut Ave
Ronkonkoma, NY 11779-6506

Mailing address

125 E Bethpage Rd
Suite 5
Plainview, NY 11803-4228

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

NPI Registry JSON

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

{
    "created_epoch": "1425081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425081600000",
    "number": "1679965628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 E BETHPAGE RD",
            "address_2": "SUITE 5",
            "city": "PLAINVIEW",
            "state": "NY",
            "postal_code": "118034228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2390 CHESTNUT AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796506",
            "telephone_number": "631-806-7890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OZDEMIR",
        "first_name": "ELIF",
        "middle_name": "SENGUL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-28",
        "last_updated": "2015-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ronkonkoma, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2015; 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.