Individual provider Active NPI

Maureen Gorenstein, R.N.

  • Registered Nurse
  • Brooklyn, NY
National Provider Identifier
1952661886
Registry record updated May 25, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
364886 Issued in NY
Practice address
7103 Avenue T
Brooklyn, NY 11234-6244
Phone
(718) 444-5769
NPI assigned
May 25, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 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 364886 NY Primary

Addresses

Primary practice location

7103 Avenue T
Brooklyn, NY 11234-6244

Mailing address

7103 Avenue T
Brooklyn, NY 11234-6244
Phone (718) 444-5769

Other identifiers 1

IdentifierTypeStateIssuer
364886OtherNYREG NURSE LICENCE #

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
364886NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1337904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337904000000",
    "number": "1952661886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7103 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346244",
            "telephone_number": "718-444-5769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7103 AVENUE T",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112346244",
            "telephone_number": "718-444-5769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORENSTEIN",
        "first_name": "MAUREEN",
        "name_prefix": "Mrs.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-25",
        "last_updated": "2012-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "364886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REG NURSE LICENCE #",
            "identifier": "364886",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

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