Individual provider Active NPI

Elizabeth Ignacio Merino, RN

  • Registered Nurse
  • Whitestone, NY
National Provider Identifier
1902070840
Registry record updated Apr 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
3833301 Issued in NY
Practice address
16625 Powells Cove Boulevard
Apartment 1F
Whitestone, NY 11357-1505
Phone
(718) 767-5624
NPI assigned
Apr 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 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 3833301 NY Primary

Addresses

Primary practice location

16625 Powells Cove Boulevard
Apartment 1F
Whitestone, NY 11357-1505

Mailing address

6 Howard Ave
New Hyde Park, NY 11040-3511
Phone (516) 833-6952

Other identifiers 1

IdentifierTypeStateIssuer
01272857MedicaidNY

Other names 1

  • Elizabeth Ignacio Former name

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
3833301NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1902070840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 HOWARD AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403511",
            "telephone_number": "516-833-6952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16625 POWELLS COVE BOULEVARD",
            "address_2": "APARTMENT 1F",
            "city": "WHITESTONE",
            "state": "NY",
            "postal_code": "113571505",
            "telephone_number": "718-767-5624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNACIO MERINO",
        "first_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "3833301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01272857",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "IGNACIO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Whitestone, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 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.