Individual provider Active NPI

Marie S. Juste, LPN

  • Licensed Practical Nurse
  • North Baldwin, NY
National Provider Identifier
1962861435
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
292039-1 Issued in NY
Practice address
511 Portland Ave
PH
North Baldwin, NY 11510-2547
Phone
(516) 510-6829
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 292039-1 NY Primary

Addresses

Primary practice location

511 Portland Ave
PH
North Baldwin, NY 11510-2547

Mailing address

511 Portland Ave
PH
North Baldwin, NY 11510-2547
Phone (516) 510-6829

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

State licenses

LicenseStateTypeSpecialty
292039-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1962861435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 PORTLAND AVE",
            "address_2": "PH",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102547",
            "telephone_number": "516-510-6829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 PORTLAND AVE",
            "address_2": "PH",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102547",
            "telephone_number": "516-510-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTE",
        "first_name": "MARIE",
        "middle_name": "S.",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "292039-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Baldwin, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.