Pedro Orellana, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

580865 Issued in NY

Practice address

1065 Stewart Ave Ste 101
Bethpage, NY 11714-3637

Phone

(516) 520-6600

NPI assigned

Oct 22, 2025

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridge Back to Life Center, Inc.

  • Multi-Specialty Clinic/Center
  • Bethpage, NY
  • NPI 1518918101
  NPD

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

{
    "created_epoch": "1761091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761091200000",
    "number": "1023985157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1065 STEWART AVE STE 101",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1065 STEWART AVE STE 101",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143637",
            "telephone_number": "516-520-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORELLANA",
        "first_name": "PEDRO",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-10-22",
        "last_updated": "2025-10-22",
        "certification_date": "2025-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "580865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ademola Olorunnisola
• Ophthalmic Consultants of Long Island
• Ophthalmic Consultants of Long Island
• Optum Medical Care, P.C.
• Orbuch, Brand Dermatology Associates LLP
• Orthodontic Care, P.C.
• Orthomed Care P.C.
• Can Unal Ozyildirim, MD
• Dzeneta Pajazetovic
• Nicholas John Palagonia, MD

• General Practice Registered Nurse in Bethpage, NY
• Providers in Bethpage, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; 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.