Individual provider Active NPI

Patricia Luongo, RN

  • Registered Nurse
  • Montgomery, NY
National Provider Identifier
1932470796
Registry record updated Jan 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
268825-1 Issued in NY
Practice address
946 Route 17K
Berea Elementary School
Montgomery, NY 12549
Phone
(845) 457-2400
Fax
(845) 457-4442
NPI assigned
Jan 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2012

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 268825-1 NY Primary

Addresses

Primary practice location

946 Route 17K
Berea Elementary School
Montgomery, NY 12549

Mailing address

946 Route 17K
Berea Elementary School
Montgomery, NY 12549
Phone (845) 457-2400

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
268825-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1327449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1932470796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 ROUTE 17K",
            "address_2": "BEREA ELEMENTARY SCHOOL",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "12549",
            "telephone_number": "845-457-2400",
            "fax_number": "845-457-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "946 ROUTE 17K",
            "address_2": "BEREA ELEMENTARY SCHOOL",
            "city": "MONTGOMERY",
            "state": "NY",
            "postal_code": "12549",
            "telephone_number": "845-457-2400",
            "fax_number": "845-457-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONGO",
        "first_name": "PATRICIA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-25",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "268825-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montgomery, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; 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.