Individual provider Active NPI

Arturo Evangelista Ceniza, NP-BC

  • Adult Health Nurse Practitioner
  • East Elmhurst, NY
National Provider Identifier
1801024419
Registry record updated Jun 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303319 Issued in NY
Practice address
1919 Hazen St
RMSC, Riker'S Island
East Elmhurst, NY 11370-1298
Phone
(718) 546-7661
Fax
(718) 546-7678
NPI assigned
Jun 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F303319 NY Primary

Addresses

Primary practice location

1919 Hazen St
RMSC, Riker'S Island
East Elmhurst, NY 11370-1298

Mailing address

19-19 Hazen St.
RMSC, Riker'S Island
East Elmhurst, NY 11370
Phone (718) 546-7661

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120823000531 NY Order and Referring Only - Nurse Practitioner 0244487486

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F303319NYMDAdult Health Nurse Practitioner

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: aceniza9131@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245715200000",
    "number": "1801024419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19-19 HAZEN ST.",
            "address_2": "RMSC, RIKER'S ISLAND",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "11370",
            "telephone_number": "718-546-7661",
            "fax_number": "718-546-7678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 HAZEN ST",
            "address_2": "RMSC, RIKER'S ISLAND",
            "city": "EAST ELMHURST",
            "state": "NY",
            "postal_code": "113701298",
            "telephone_number": "718-546-7661",
            "fax_number": "718-546-7678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENIZA",
        "first_name": "ARTURO",
        "middle_name": "EVANGELISTA",
        "name_prefix": "Mr.",
        "credential": "NP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-23",
        "last_updated": "2009-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.