Active NPI
Kathleen Latino, MD
- Urology Physician
- West Nyack, NY
National Provider Identifier
1699759340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 178898
- Practice address
- 2 Medical Park Dr
West Nyack, NY 10994-1965 - Phone
- (854) 354-5000
- Fax
- (845) 354-9469
- NPI assigned
- Dec 5, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 178898 | NY | Primary |
Addresses
Primary practice location
2 Medical Park Dr
West Nyack, NY 10994-1965
Mailing address
2 Medical Park Dr
West Nyack, NY 10994-1965
Phone (854) 354-5000
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)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- kathleenlatino@imppllc.allscriptsdirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335225600000",
"number": "1699759340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941965",
"telephone_number": "854-354-5000",
"fax_number": "845-354-9469"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 MEDICAL PARK DR",
"city": "WEST NYACK",
"state": "NY",
"postal_code": "109941965",
"telephone_number": "854-354-5000",
"fax_number": "845-354-9469"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LATINO",
"first_name": "KATHLEEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-05",
"last_updated": "2012-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "178898",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Nyack, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.