Active NPI
Dino Francis Nuzzi
- Licensed Practical Nurse
- Coram, NY
National Provider Identifier
1720200199
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 261025-1
- Practice address
- 16 Whitmore LN
Coram, NY 11727-1028 - Phone
- (631) 474-0981
- NPI assigned
- May 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 261025-1 | NY | Primary |
Addresses
Primary practice location
16 Whitmore LN
Coram, NY 11727-1028
Mailing address
16 Whitmore LN
Coram, NY 11727-1028
Phone (631) 474-0981
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02004722 | Medicaid | NY | |
| R42541 | Other | NY | EMPIRE PRIVITE PROVIDER |
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 |
|---|---|---|---|
| 261025-1 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1720200199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 WHITMORE LN",
"city": "CORAM",
"state": "NY",
"postal_code": "117271028",
"telephone_number": "631-474-0981"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 WHITMORE LN",
"city": "CORAM",
"state": "NY",
"postal_code": "117271028",
"telephone_number": "631-474-0981"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUZZI",
"first_name": "DINO",
"middle_name": "FRANCIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "261025-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02004722",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PRIVITE PROVIDER",
"identifier": "R42541",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Coram, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.