Individual provider Active NPI

Renide Esteril, L.P.N

  • Licensed Practical Nurse
  • Nanuet, NY
National Provider Identifier
1730410432
Registry record updated Jan 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
291677 Issued in NY
Practice address
20 Old Turnpike Rd
Suite 105
Nanuet, NY 10954-2532
Phone
(845) 624-0260
NPI assigned
Jan 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 291677 NY Primary

Addresses

Primary practice location

20 Old Turnpike Rd
Suite 105
Nanuet, NY 10954-2532

Mailing address

6 Gladys Dr
Spring Valley, NY 10977-6025
Phone (845) 426-0858

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

LicenseStateTypeSpecialty
291677NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1263859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263859200000",
    "number": "1730410432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 GLADYS DR",
            "city": "SPRING VALLEY",
            "state": "NY",
            "postal_code": "109776025",
            "telephone_number": "845-426-0858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 OLD TURNPIKE RD",
            "address_2": "SUITE 105",
            "city": "NANUET",
            "state": "NY",
            "postal_code": "109542532",
            "telephone_number": "845-624-0260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTERIL",
        "first_name": "RENIDE",
        "credential": "L.P.N",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-19",
        "last_updated": "2010-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "291677",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nanuet, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.