Active NPI
Sarah Perrino
- Licensed Practical Nurse
- Bellport, NY
National Provider Identifier
1023289311
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 246319
- Practice address
- 31 Maple Ave
Bellport, NY 11713-2010 - Phone
- (631) 776-2929
- Fax
- (631) 776-2929
- NPI assigned
- Mar 14, 2008
- Last updated
- Mar 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 246319 | NY | Primary |
Addresses
Primary practice location
31 Maple Ave
Bellport, NY 11713-2010
Mailing address
31 Maple Ave
Bellport, NY 11713-2010
Phone (631) 776-2929
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01715228 | Medicaid | NY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 246319 | NY | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205452800000",
"number": "1023289311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 MAPLE AVE",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132010",
"telephone_number": "631-776-2929",
"fax_number": "631-776-2929"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31 MAPLE AVE",
"city": "BELLPORT",
"state": "NY",
"postal_code": "117132010",
"telephone_number": "631-776-2929",
"fax_number": "631-776-2929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRINO",
"first_name": "SARAH",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-03-14",
"last_updated": "2008-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NY",
"license": "246319",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01715228",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.