Individual provider Active NPI

Maria Teresa Taliento

  • Licensed Practical Nurse
  • Setauket, NY
National Provider Identifier
1861667743
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
266385 Issued in NY
Practice address
19 Stadium Dr
Setauket, NY 11733
Phone
(631) 675-6333
NPI assigned
Apr 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 266385 NY Primary

Addresses

Primary practice location

19 Stadium Dr
Setauket, NY 11733

Mailing address

318 Auborn Ave
Shirley, NY 11967
Phone (631) 395-2252

Other identifiers 1

IdentifierTypeStateIssuer
02636859MedicaidNY

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

NPI Registry JSON

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

{
    "created_epoch": "1208908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1861667743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 AUBORN AVE",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "11967",
            "telephone_number": "631-395-2252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 STADIUM DR",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "11733",
            "telephone_number": "631-675-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALIENTO",
        "first_name": "MARIA",
        "middle_name": "TERESA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-23",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "266385",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02636859",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.

Verify at the official NPI Registry.