Individual provider Active NPI

Imelda Bangcong Torayno

  • Registered Nurse
  • Centerport, NY
National Provider Identifier
1760067466
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
828443 Issued in NY
Practice address
121 Jackson Cres
Centerport, NY 11721-1053
Phone
(631) 530-2548
NPI assigned
Mar 14, 2021
Last updated
Feb 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 828443 NY Primary
Licensed Practical Nurse 164W00000X 33753501 NY

Addresses

Primary practice location

121 Jackson Cres
Centerport, NY 11721-1053

Mailing address

121 Jackson Cres
Centerport, NY 11721-1053
Phone (631) 530-2548

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
828443NYMDRegistered Nurse
33753501NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1615680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1760067466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 JACKSON CRES",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211053",
            "telephone_number": "631-530-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 JACKSON CRES",
            "city": "CENTERPORT",
            "state": "NY",
            "postal_code": "117211053",
            "telephone_number": "631-530-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORAYNO",
        "first_name": "IMELDA",
        "middle_name": "BANGCONG",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-14",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "828443",
            "primary": true
        },
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "33753501",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centerport, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2024; 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.