Individual provider Active NPI

Sylvia Kallich, RN

  • Administrator Registered Nurse
  • Uniondale, NY
National Provider Identifier
1740986348
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
License
481-662 Issued in NY
Practice address
933 Goodrich St
Uniondale, NY 11553-2400
Phone
(516) 883-8883
Fax
(516) 560-8995
NPI assigned
Feb 6, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 481662 NY
Administrator Registered Nurse 163WA2000X 481-662 NY Primary

Addresses

Primary practice location

933 Goodrich St
Uniondale, NY 11553-2400

Mailing address

3000 Stevens St Unit 54
Oceanside, NY 11572-2039
Phone (516) 883-8883

Other practice location 1

3000 Stevens St Unit 54
Oceanside, NY 11572-2039
Phone (516) 883-8883

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
481-662NYMDAdministrator Registered Nurse
481662NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1740986348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3000 STEVENS ST UNIT 54",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722039",
            "telephone_number": "516-883-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 GOODRICH ST",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115532400",
            "telephone_number": "516-883-8883",
            "fax_number": "516-560-8995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Stevens St Unit 54",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "NY",
            "postal_code": "115722039",
            "country_code": "US",
            "telephone_number": "516-883-8883",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KALLICH",
        "first_name": "SYLVIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "481662",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "NY",
            "license": "481-662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Uniondale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; 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.