Individual provider Active NPI

Theresa Maria Stallone, REGISTERED NURSE

  • School Registered Nurse
  • Bay Shore, NY
National Provider Identifier
1821373200
Registry record updated Oct 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
247818 Issued in NY
Practice address
125 Wohseepee Dr
Bay Shore, NY 11706-7130
Phone
(631) 968-1147
Fax
(631) 968-1832
NPI assigned
Oct 17, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 18, 2011

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 247818 NY Primary

Addresses

Primary practice location

125 Wohseepee Dr
Bay Shore, NY 11706-7130

Mailing address

125 Wohseepee Dr
Bay Shore, NY 11706-7130
Phone (631) 968-1147

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
247818NYMDSchool Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1318809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318896000000",
    "number": "1821373200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 WOHSEEPEE DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067130",
            "telephone_number": "631-968-1147",
            "fax_number": "631-968-1832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 WOHSEEPEE DR",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117067130",
            "telephone_number": "631-968-1147",
            "fax_number": "631-968-1832"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STALLONE",
        "first_name": "THERESA",
        "middle_name": "MARIA",
        "name_prefix": "Mrs.",
        "credential": "REGISTERED NURSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-17",
        "last_updated": "2011-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "247818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2011; 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.