CMS-1500 Box 24J / 33a • NPI
1770647802
Type 1 Individual Rendering/Ordering
HIPAA NUCC Taxonomy • CMS Code
164W00000X
Licensed & Credentialed Licensed Practical Nurse
Box 32 Service Location & ZIP+4
998 CROOKED HILL RD, WEST BRENTWOOD, NY, 11717-1019
✓ 9-Digit EDI 837 ZIP+4 (11717-1019)
✓ HHS OIG LEIE Sanction Screening — VERIFIED CLEAR:
NPI
1770647802 (MARGARET MARIE BUSH, LPN) has 0 active federal exclusions across all 84,224 HHS OIG LEIE sanction records (Database Verified: 2026-11-11).
CMS Medicare Order & Referring PECOS Eligibility
Official CMS NPPES Credential & Practice Profile
| 10-Digit NPI Number | 1770647802 (NPI-1 Individual Practitioner) |
|---|---|
| Provider / Legal Name | MARGARET MARIE BUSH, LPN |
| Plain-English Specialty | Licensed & Credentialed Licensed Practical Nurse NUCC Code: 164W00000X (Licensed Practical Nurse) |
| Certifying / Licensing Body | State Medical / Healthcare Licensing Board & National Specialty Board |
| Practice Location Address | 998 CROOKED HILL RD, WEST BRENTWOOD, NY, 11717-1019 |
| Practice Telephone / Fax | Tel: (631) 761-3500 |
| Administrative Mailing Address | 1149 ORCHID CIR, BELLPORT, NY, 11713-3005 |
| Enumeration & Last Sync | Enumerated: 2006-12-21 | CMS Record Updated: 2020-03-12 |
Clinic Location, Accessibility & Directions
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Plain-English Taxonomy & CMS Crosswalk (164W00000X)
What Does Taxonomy Code 164W00000X Mean?
In the HIPAA National Uniform Claim Committee (NUCC) classification, code 164W00000X translates to:
"Licensed & Credentialed Licensed Practical Nurse"
Specialty Clinical Procedures & Therapeutic Classes
Standard Scope of Care (MARGARET MARIE BUSH, LPN)
Typical CPT / Diagnostic Procedures:- Comprehensive Outpatient & Inpatient Clinical Evaluation (CPT 99202–99215)
- Diagnostic Workup, Laboratory Ordering & Evidence-Based Care Coordination
- Preventive Screening, Patient Counseling & Multidisciplinary Referral
- Evidence-Based Specialty Pharmacotherapy & Preventive Regimens (CMS Part D Standard)
All Registered NUCC Taxonomies & State Licenses
| Taxonomy Code & Plain-English Description | State License & Primary Status |
|---|---|
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: NY | License: 209936 | Primary: Yes (Primary) |
164W00000X — Licensed Practical NursePlain English: Licensed & Credentialed Licensed Practical Nurse | State: NY | License: 209936-01 | Primary: Secondary |
Medical Billing, RCM & Hospital Credentialing Teams:
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