Argelia Nurse Practitioner in Adult Health PC

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

Legal business name

ARGELIA NURSE PRACTITIONER IN ADULT HEALTH PC

Practice address

200 Howells Rd
Bay Shore, NY 11706-5351

Phone

(631) 278-3452

Fax

(631) 278-3452

NPI assigned

Aug 4, 2017

Organization subpart

No

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

Authorized official

Name

Argelia Diaz, NPNPI 1619229820

Title

Adult Nurse Practitioner

Phone

(631) 278-3452

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Lighthouse Adult Health Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Argelia Diaz, NP

  • Adult Health Nurse Practitioner
  • Bay Shore, NY
  • NPI 1619229820
  Medicare reassignment NPD Authorized official
• Karen Duran, FNP

  • Family Nurse Practitioner
  • Bay Shore, NY
  • NPI 1750050308
  NPD (past)

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

{
    "created_epoch": "1501804800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1699290288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 HURON DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117063718",
            "telephone_number": "631-278-3452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOWELLS RD",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117065351",
            "telephone_number": "631-278-3452",
            "fax_number": "631-278-3452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARGELIA NURSE PRACTITIONER IN ADULT HEALTH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-04",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ARGELIA",
        "authorized_official_title_or_position": "ADULT NURSE PRACTITIONER",
        "authorized_official_telephone_number": "631-278-3452",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Adult Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "003750083003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "17803991",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHFIRST",
            "identifier": "F306138-A85",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03784847",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lighthouse Adult Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ar Testing Corp
• Elaine May Arcenas, M.D.
• Marinel Ardeljan, D.O.
• Alexa Rae Ardito, RDN
• Bianca Arevalo-Bustillos
• Bethania E Arias de Ventura
• Philip Martin Aries, MD
• Sarah Aristide, LPN
• Katherinne T. Arizaga
• Crysel Armas

• Adult Health Nurse Practitioner in Bay Shore, NY
• Providers in Bay Shore, NY by specialty
• Adult Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.