Individual provider Active NPI

Virginia B. Dimilia, R.N.

  • Nursing Care Agency
  • Staten Island, NY
National Provider Identifier
1881841112
Registry record updated Aug 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
199767-1 Issued in NY
Practice address
15 Yacht Club CV
Staten Island, NY 10308-3531
Phone
(718) 948-3920
Fax
(718) 732-2510
NPI assigned
Aug 18, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X 199767-1 NY Primary

Addresses

Primary practice location

15 Yacht Club CV
Staten Island, NY 10308-3531

Mailing address

15 Yacht Club CV
Staten Island, NY 10308-3531
Phone (718) 948-3920

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
199767-1NYMDNursing Care Agency

NPI Registry JSON

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

{
    "created_epoch": "1219017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219017600000",
    "number": "1881841112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 YACHT CLUB CV",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083531",
            "telephone_number": "718-948-3920",
            "fax_number": "718-732-2510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 YACHT CLUB CV",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103083531",
            "telephone_number": "718-948-3920",
            "fax_number": "718-732-2510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIMILIA",
        "first_name": "VIRGINIA",
        "middle_name": "B.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-18",
        "last_updated": "2008-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NY",
            "license": "199767-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.