Individual provider Active NPI

Linda Marie Cimino, NP, EDD

  • Adult Health Nurse Practitioner
  • Stony Brook, NY
National Provider Identifier
1962713420
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
F303322-1 Issued in NY
Practice address
Suny Stony Brook Dept of Anesthesiology
HSC L 4, RM 060
Stony Brook, NY 11794-8480
Phone
(631) 444-2968
Fax
(631) 444-9179
NPI assigned
Jun 29, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X F381265-1 NY
Adult Health Nurse Practitioner 363LA2200X F303322-1 NY Primary

Addresses

Primary practice location

Suny Stony Brook Dept of Anesthesiology
HSC L 4, RM 060
Stony Brook, NY 11794-8480

Mailing address

Suny Stony Brook Dept of Anesthesiology
HSC L 4, RM 060
Stony Brook, NY 11794-8480
Phone (631) 444-2968

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F303322-1NYMDAdult Health Nurse Practitioner
F381265-1NYMDPediatric Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1277769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1962713420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SUNY STONY BROOK DEPT OF ANESTHESIOLOGY",
            "address_2": "HSC L 4, RM 060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2968",
            "fax_number": "631-444-9179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "SUNY STONY BROOK DEPT OF ANESTHESIOLOGY",
            "address_2": "HSC L 4, RM 060",
            "city": "STONY BROOK",
            "state": "NY",
            "postal_code": "117948480",
            "telephone_number": "631-444-2968",
            "fax_number": "631-444-9179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIMINO",
        "first_name": "LINDA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "NP, EDD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-29",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381265-1",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F303322-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stony Brook, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2010; 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.