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Deactivated NPI 1699467894 Deactivated / Inactive NPI Female Practitioner

Rose Dyan Antero , LPN

Licensed Practical Nurse • Central Islip, NY

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Rose Dyan Antero has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date May 24, 2023
NPI Deactivation Date June 04, 2024
Total Practice Duration ~1 Years of Practice (2023 – 2024)

Professional Overview & Biography Verified Profile Summary

Rose Dyan Antero, LPN was a registered Licensed Practical Nurse practicing in Central Islip, NY. Throughout an active medical career spanning 1 years, Rose Dyan Antero provided care at the practice location at 366 HALF MILE RD until profile deactivation on 2024-06-04.

Practice Location & Contact Primary Location

Practice Address

366 Half Mile Rd

Central Islip, NY 117222533

Telephone 6314826479

Specialty Benchmarks & Practice Insights

Comparative analytics for Licensed Practical Nurse in Central Islip, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 8.0 Yrs
Regional Practice Density
113 Specialists

Practicing in Central Islip, NY (23738 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Licensed Practical Nurse Primary Specialty

NUCC Taxonomy Code: 164W00000X

State License NY 340123

An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated June 04, 2024

Record deactivated on June 04, 2024

NPI Profile Active May 26, 2023

NPI status registered as active in NPPES database

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Updated Practice Location May 26, 2023

Registered at 366 HALF MILE RD, CENTRAL ISLIP, NY 117222533 (Tel: 6314826479)

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Updated Business Mailing Address May 26, 2023

Registered at 366 HALF MILE RD, CENTRAL ISLIP, NY 117222533 (Tel: 6314826479)

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Provider Name / Credentials Updated May 26, 2023

Recorded as ROSE DYAN ANTERO, LPN

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Medical Taxonomy / Specialty Registered (Primary Specialty) May 26, 2023

Licensed Practical Nurse (License #340123 in NY)

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Initial NPI Registration & Enumeration May 24, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1699467894
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 24, 2023
Last Update: May 26, 2023
Deactivation Date: June 04, 2024

Mailing Address

366 Half Mile Rd

Central Islip, NY 117222533

Phone: 6314826479

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.