Active NPI
Erin Gardner
- Registered Nurse
- Cutchogue, NY
National Provider Identifier
1861941023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 505726-1
- Practice address
- 4115 Stillwater Ave
Cutchogue, NY 11935-2449 - Phone
- (917) 754-6065
- NPI assigned
- Sep 29, 2016
- 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 | 505726-1 | NY | Primary |
Addresses
Primary practice location
4115 Stillwater Ave
Cutchogue, NY 11935-2449
Mailing address
PO Box 727
Cutchogue, NY 11935-0727
Phone (917) 754-6065
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 505726-1 | Other | NY | NY STATE EDUCATION DEPARTMENT |
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 |
|---|---|---|---|
| 505726-1 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1475107200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1861941023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 727",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "119350727",
"telephone_number": "917-754-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4115 STILLWATER AVE",
"city": "CUTCHOGUE",
"state": "NY",
"postal_code": "119352449",
"telephone_number": "917-754-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ERIN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-09-29",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "505726-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE EDUCATION DEPARTMENT",
"identifier": "505726-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cutchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.