Active NPI
Susan Judith Gurello
- Registered Nurse
- Selden, NY
National Provider Identifier
1710188099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 419605
- Practice address
- 108 Old Selden Stage Rd
Selden, NY 11784-1530 - Phone
- (631) 698-3701
- NPI assigned
- May 31, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 419605 | NY | Primary |
Addresses
Primary practice location
108 Old Selden Stage Rd
Selden, NY 11784-1530
Mailing address
108 Old Selden Stage Rd
Selden, NY 11784-1530
Phone (631) 698-3701
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 419605 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1710188099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 OLD SELDEN STAGE RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841530",
"telephone_number": "631-698-3701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 OLD SELDEN STAGE RD",
"city": "SELDEN",
"state": "NY",
"postal_code": "117841530",
"telephone_number": "631-698-3701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURELLO",
"first_name": "SUSAN",
"middle_name": "JUDITH",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "419605",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selden, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.