Lydie Chery, REGISTERED NURSE

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

720178-01 Issued in NY

Practice address

153 Lake Shore Rd
Lake Ronkonkoma, NY 11779-3157

Phone

(631) 925-7619

NPI assigned

Jul 18, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Phoenix Houses of Long Island, Inc.

  • Substance Abuse Rehabilitation Facility
  • Brentwood, NY
  • NPI 1174691281
  NPD

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1740915461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 RAYMOND AVE",
            "city": "MIDDLE ISLAND",
            "state": "NY",
            "postal_code": "119531428",
            "telephone_number": "631-925-7619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 LAKE SHORE RD",
            "city": "LAKE RONKONKOMA",
            "state": "NY",
            "postal_code": "117793157",
            "telephone_number": "631-925-7619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERY",
        "first_name": "LYDIE",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "720178-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lchery@phoenixhouseny.org",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Email",
            "address_1": "153 Lake Shore Rd",
            "city": "Lake Ronkonkoma",
            "state": "NY",
            "country_code": "US",
            "postal_code": "117793157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shane Bush, PH.D.
• Andrew William Caradona, RPH
• Nicolette Carmine
• Veronica Carrier, LMSW
• Joseph M Chandrankunnel, MD
• Renee Cheung, RPH
• Cifarelli, Neilsen, and Topping Acupuncture and PT PLLC
• Deanna Elizabeth Colasanti, RN
• Robert Charles Comanducci, DMD
• Leah Conklin, C.F.- SLP, TSSLD

• Registered Nurse in Lake Ronkonkoma, NY
• Providers in Lake Ronkonkoma, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; 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.