Individual provider Active NPI

Kimberly Marie Warga, M.S ED

  • Specialist
  • Glen Head, NY
National Provider Identifier
1780947663
Registry record updated Jun 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Practice address
18 Horse Hill Rd
Glen Head, NY 11545-2645
Phone
(516) 669-1095
Fax
(516) 626-7881
NPI assigned
Jun 16, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NY Primary

Addresses

Primary practice location

18 Horse Hill Rd
Glen Head, NY 11545-2645

Mailing address

18 Horse Hill Rd
Glen Head, NY 11545-2645
Phone (516) 669-1095

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
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1339804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339804800000",
    "number": "1780947663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 HORSE HILL RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452645",
            "telephone_number": "516-669-1095",
            "fax_number": "516-626-7881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 HORSE HILL RD",
            "city": "GLEN HEAD",
            "state": "NY",
            "postal_code": "115452645",
            "telephone_number": "516-669-1095",
            "fax_number": "516-626-7881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARGA",
        "first_name": "KIMBERLY",
        "middle_name": "MARIE",
        "credential": "M.S ED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-16",
        "last_updated": "2012-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Head, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2012; 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.