Individual provider Active NPI

Susan Mary Laudato, R.N.

  • Registered Nurse
  • Port Jefferson Station, NY
National Provider Identifier
1881841880
Registry record updated Aug 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
309118-1 Issued in NY
Practice address
1010 Route 112
Suite 210
Port Jefferson Station, NY 11776-3387
Phone
(631) 473-1200
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 309118-1 NY Primary

Addresses

Primary practice location

1010 Route 112
Suite 210
Port Jefferson Station, NY 11776-3387

Mailing address

2162 Cedar Ave
Ronkonkoma, NY 11779-6621
Phone (631) 648-0977

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
309118-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219190400000",
    "number": "1881841880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2162 CEDAR AVE",
            "city": "RONKONKOMA",
            "state": "NY",
            "postal_code": "117796621",
            "telephone_number": "631-648-0977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 ROUTE 112",
            "address_2": "SUITE 210",
            "city": "PORT JEFFERSON STATION",
            "state": "NY",
            "postal_code": "117763387",
            "telephone_number": "631-473-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAUDATO",
        "first_name": "SUSAN",
        "middle_name": "MARY",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2008-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "309118-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Jefferson Station, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 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.