Susan Decosta, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

131461 Issued in NY

Practice address

50 Broadway
Lynbrook, NY 11563-2519

Phone

(516) 887-1200

Fax

(516) 593-2848

NPI assigned

Jul 9, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1341792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1831454586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1576 OLD MILL RD",
            "city": "WANTAGH",
            "state": "NY",
            "postal_code": "117933237",
            "telephone_number": "516-572-5724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 BROADWAY",
            "city": "LYNBROOK",
            "state": "NY",
            "postal_code": "115632519",
            "telephone_number": "516-887-1200",
            "fax_number": "516-593-2848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECOSTA",
        "first_name": "SUSAN",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-09",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "131461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiffany Damers, MA CCC-SLP TSLD
• Daniel Davies, DPM
• Eunide Dannel, RN
• Danielle Davis
• Kathleen Elizabeth De Luca
• Barbara J Delannoy, RN
• Thomas Denapoli
• Dentistry on Broadway
• Jennifer Derri, LMHC
• Ruth Desrameaux, RN

• Licensed Practical Nurse in Lynbrook, NY
• Providers in Lynbrook, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.