Active NPI
Virginia T. Brady
- Registered Nurse
- E Northport, NY
National Provider Identifier
1861651788
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 591872
- Practice address
- 304 2ND Ave
E Northport, NY 11731-3511 - Phone
- (631) 368-6156
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 591872 | NY | Primary |
Addresses
Primary practice location
304 2ND Ave
E Northport, NY 11731-3511
Mailing address
304 2ND Ave
E Northport, NY 11731-3511
Phone (631) 368-6156
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
| License | State | Type | Specialty |
|---|---|---|---|
| 591872 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1861651788",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "304 2ND AVE",
"city": "E NORTHPORT",
"state": "NY",
"postal_code": "117313511",
"telephone_number": "631-368-6156"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "304 2ND AVE",
"city": "E NORTHPORT",
"state": "NY",
"postal_code": "117313511",
"telephone_number": "631-368-6156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRADY",
"first_name": "VIRGINIA",
"middle_name": "T.",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "591872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in E Northport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.