Individual provider Active NPI

Donna Marie Prestopino

  • Registered Nurse
  • Woodbury, NY
National Provider Identifier
1922871763
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
510100 Issued in NY
Practice address
8030 Jericho Tpke Ste 125
Woodbury, NY 11797-1204
Phone
(929) 338-3525
NPI assigned
Nov 2, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine Registered Nurse 163WC0200X 510100 NY
Home Health Registered Nurse 163WH0200X 510100 NY
Ambulatory Care Registered Nurse 163WP2201X 510100 NY
Registered Nurse 163W00000X 510100 NY Primary

Addresses

Primary practice location

8030 Jericho Tpke Ste 125
Woodbury, NY 11797-1204

Mailing address

8030 Jericho Tpke Ste 125
Woodbury, NY 11797-1204
Phone (929) 338-3525

Other practice location 1

26 Colony Dr
West Sayville, NY 11796-1611
Phone (929) 338-3525

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

LicenseStateTypeSpecialty
510100NYMDCritical Care Medicine Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1698883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1922871763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8030 JERICHO TPKE STE 125",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971204",
            "telephone_number": "929-338-3525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8030 JERICHO TPKE STE 125",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971204",
            "telephone_number": "929-338-3525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26 Colony Dr",
            "address_purpose": "LOCATION",
            "city": "West Sayville",
            "state": "NY",
            "postal_code": "117961611",
            "country_code": "US",
            "telephone_number": "929-338-3525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRESTOPINO",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-02",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Critical Care Medicine",
            "state": "NY",
            "license": "510100",
            "primary": false
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "510100",
            "primary": false
        },
        {
            "code": "163WP2201X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Ambulatory Care",
            "state": "NY",
            "license": "510100",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "510100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2023; 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.