Colleen McEvoy

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

533285 Issued in NY

Legal business name

COLLEEN MCEVOY

Practice address

58 Sampson Ave
Islandia, NY 11749-6142

Phone

(631) 235-1739

NPI assigned

Apr 5, 2015

Last updated

Apr 5, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Colleen Elizabeth McEvoy

Title

RN

Phone

(631) 235-1739

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1428192000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428192000000",
    "number": "1841685914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 SAMPSON AVE",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117496142",
            "telephone_number": "631-235-1739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 SAMPSON AVE",
            "city": "ISLANDIA",
            "state": "NY",
            "postal_code": "117496142",
            "telephone_number": "631-235-1739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN MCEVOY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-05",
        "last_updated": "2015-04-05",
        "status": "A",
        "authorized_official_last_name": "MCEVOY",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "631-235-1739"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NY",
            "license": "533285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bonita S Cherry, RPH
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• Elizabeth Ann Cohen, FNP-C , PMHNP-BC
• Jessica Lynn Colon
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• Abigail Conway

• Skilled Nursing Facility in Islandia, NY
• Providers in Islandia, NY by specialty
• Skilled Nursing Facility in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2015; 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.