Charlene Marie Digiacomo

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

363046-1 Issued in NY

Practice address

4 Vascello Rd
New Windsor, NY 12553-5947

Phone

(845) 781-8989

NPI assigned

Dec 31, 2017

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": "1514678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514678400000",
    "number": "1942717889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VASCELLO RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535947",
            "telephone_number": "845-781-8989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VASCELLO RD",
            "city": "NEW WINDSOR",
            "state": "NY",
            "postal_code": "125535947",
            "telephone_number": "845-781-8989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIGIACOMO",
        "first_name": "CHARLENE",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-31",
        "last_updated": "2017-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "363046-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nimret Dev, D.O
• Richard Deverson
• Dina Devoe
• Luz Evita Diaz, RN
• Samantha Lee Dibenedetto, BS, COTA/L
• Tara Dirks
• Christine Ditoro
• Jenna Divenuto
• Eleanor F Doderer, LMSW
• Christine Doering, P.A.

• Registered Nurse in New Windsor, NY
• Providers in New Windsor, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2017; 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.