Individual provider Active NPI

Elizabeth Magliocca, RN

  • Registered Nurse
  • Gloversville, NY
National Provider Identifier
1801235155
Registry record updated Jul 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
408536 Issued in NY
Practice address
73 N Main St
Gloversville, NY 12078-3044
Phone
(518) 952-8121
Fax
(518) 952-8287
NPI assigned
Jun 20, 2013
Last updated
Jul 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 408536 NY Primary

Addresses

Primary practice location

73 N Main St
Gloversville, NY 12078-3044

Mailing address

73 N Main St
Gloversville, NY 12078-3044
Phone (518) 866-4069

Other identifiers 1

IdentifierTypeStateIssuer
03008248MedicaidNY

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
408536NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Conifer Park, Inc. Past Accepting new patients
Conifer Park, Inc. Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1371686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753833600000",
    "number": "1801235155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "73 N MAIN ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783044",
            "telephone_number": "518-866-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "73 N MAIN ST",
            "city": "GLOVERSVILLE",
            "state": "NY",
            "postal_code": "120783044",
            "telephone_number": "518-952-8121",
            "fax_number": "518-952-8287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGLIOCCA",
        "first_name": "ELIZABETH",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-20",
        "last_updated": "2025-07-30",
        "certification_date": "2025-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "408536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03008248",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gloversville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; 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.