Active NPI
Comfort Caine Mathelier, LPN
- Licensed Practical Nurse
- Spring Valley, NY
National Provider Identifier
1881925394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 264056
- Practice address
- 9 Summit Ave
Apt 206N
Spring Valley, NY 10977-5384 - Phone
- (845) 352-0931
- NPI assigned
- Jan 22, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 264056 | NY | Primary |
Addresses
Primary practice location
9 Summit Ave
Apt 206N
Spring Valley, NY 10977-5384
Mailing address
9 Summit Ave
Apt 206N
Spring Valley, NY 10977-5384
Phone (845) 352-0931
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 264056 | Other | NY | LICENSED PRACTICAL NURSE |
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 |
|---|---|---|---|
| 264056 | NY | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264118400000",
"number": "1881925394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 SUMMIT AVE",
"address_2": "APT 206N",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775384",
"telephone_number": "845-352-0931"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9 SUMMIT AVE",
"address_2": "APT 206N",
"city": "SPRING VALLEY",
"state": "NY",
"postal_code": "109775384",
"telephone_number": "845-352-0931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHELIER",
"first_name": "COMFORT",
"middle_name": "CAINE",
"name_prefix": "Mrs.",
"credential": "LPN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-22",
"last_updated": "2010-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "264056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSED PRACTICAL NURSE",
"identifier": "264056",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Spring Valley, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.