ELIZABETH VILLAVICENCIO NURSE PRACT
NPI 1790772010
Nurse Practitioner - Pediatrics in Staten Island, NY

NPI Status: Active since October 03, 2005

Contact Information

347 EDISON ST
STATEN ISLAND, NY
ZIP 10306
Phone: (718) 351-1136
Fax: (718) 667-9711

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  • Individual
  • Female
  • Nurse Practitioner
  • Pediatrics

About ELIZABETH VILLAVICENCIO

This page provides the complete NPI Profile along with additional information for Elizabeth Villavicencio, a provider established in Staten Island, New York with a medical specialization in Nurse Practitioner, focusing in pediatrics . The healthcare provider is registered in the NPI registry with number 1790772010 assigned on October 2005. The practitioner's primary taxonomy code is 363LP0200X with license number F3814531 (NY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1790772010
Provider Name
ELIZABETH VILLAVICENCIO NURSE PRACT
Other Name
ELIZABETH FLINT NURSE PRACT
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
347 EDISON ST STATEN ISLAND, NY 10306
Location Phone
(718) 351-1136
Location Fax
(718) 667-9711
Mailing Address
2031 FOREST AVE STATEN ISLAND, NY 10303
Is Sole Proprietor?
No
Enumeration Date
10-03-2005
Last Update Date
11-09-2012
Code Navigator

A nurse practitioner (NP) like Elizabeth Villavicencio is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Pediatrics

Taxonomy Code
363LP0200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
F3814531
License State
NY

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1093G1MEDICARE ID-TYPE UNSPECIFIED (04)NY 
02389417MEDICAID (05)NY 
Q44233MEDICARE UPIN (02) 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1790772010
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
27180147402
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 8 + 0 + 1 + 4 + 7 + 4 + 0 + 2 + 24 = 60
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1790772010 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

JANET M. FAICCO F. N. P.

Nurse Practitioner

347 EDISON ST
STATEN ISLAND, NY
ZIP 10306

(718) 351-1136

DR. PATRICIA A. MULLEN M. D.

Pediatrics

347 EDISON ST
STATEN ISLAND, NY
ZIP 10306

(718) 351-1136

DR. LEONARD LEFKOVIC M. D.

Internal Medicine

(Cardiovascular Disease)

347 EDISON ST
STATEN ISLAND, NY
ZIP 10306

(718) 351-1136

DIANE P. HALLIHAN A. N. P.

Clinical Nurse Specialist

(Adult Health)

347 EDISON ST
STATEN ISLAND, NY
ZIP 10306

(718) 351-1136

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1790772010, enumerated as an "individual" on October 03, 2005.

The provider is located at 347 EDISON ST STATEN ISLAND, NY 10306 and the phone number is (718) 351-1136.

Nurse Practitioner with taxonomy code 363LP0200X and a focus in Pediatrics.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.