Individual provider Active NPI

Shanique Terrelonge, RN

  • Registered Nurse
  • Albertson, NY
National Provider Identifier
1700391125
Registry record updated Dec 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
736150 Issued in NY
Practice address
201 I U Willets Rd
Albertson, NY 11507-1516
Phone
(516) 465-1650
Fax
(516) 465-3742
NPI assigned
Dec 7, 2017
Last updated
Dec 7, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 736150 NY Primary

Addresses

Primary practice location

201 I U Willets Rd
Albertson, NY 11507-1516

Mailing address

181 Holland Ave
Elmont, NY 11003-1630
Phone (347) 545-8433

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
736150NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512604800000",
    "number": "1700391125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 HOLLAND AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031630",
            "telephone_number": "347-545-8433",
            "fax_number": "516-465-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 I U WILLETS RD",
            "city": "ALBERTSON",
            "state": "NY",
            "postal_code": "115071516",
            "telephone_number": "516-465-1650",
            "fax_number": "516-465-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TERRELONGE",
        "first_name": "SHANIQUE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "736150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albertson, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; 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.