Individual provider Active NPI

Angela J Kuzmicki, RN

  • School Registered Nurse
  • Staten Island, NY
National Provider Identifier
1821362823
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
163862-1 Issued in NY
Practice address
225 Cleveland Ave
Staten Island, NY 10308-3218
Phone
(718) 982-4701
Fax
(718) 227-5397
NPI assigned
Mar 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 163862-1 NY Primary

Addresses

Primary practice location

225 Cleveland Ave
Staten Island, NY 10308-3218

Mailing address

225 Cleveland Ave
Staten Island, NY 10308-3218
Phone (718) 982-4701

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
163862-1NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1331164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1331164800000",
    "number": "1821362823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLEVELAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083218",
            "telephone_number": "718-982-4701",
            "fax_number": "718-227-5397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLEVELAND AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083218",
            "telephone_number": "718-982-4701",
            "fax_number": "718-227-5397"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUZMICKI",
        "first_name": "ANGELA",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-08",
        "last_updated": "2012-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "163862-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 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.