Alyssa Marie De Gennaro, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

304428-1 Issued in NY

Practice address

103 Madison St
Mastic, NY 11950-3901

Phone

(631) 682-9504

NPI assigned

Mar 24, 2011

Last updated

Mar 24, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1942509294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 MADISON ST",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503901",
            "telephone_number": "631-682-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MADISON ST",
            "city": "MASTIC",
            "state": "NY",
            "postal_code": "119503901",
            "telephone_number": "631-682-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GENNARO",
        "first_name": "ALYSSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "304428-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Linda Cook
• Christian Creed, LCSW
• Heidi Cuevas, RN
• Jennifer Ann Davies, LPN
• Ingrid Camille Daye
• Kelly A Dean, RN
• Kimberly Anne Del Vecchio
• Amanda Delvecchio
• Dina Dematteo
• Mariama Diallo

• Licensed Practical Nurse in Mastic, NY
• Providers in Mastic, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.