Active NPI
Edrei Adrianni Conton-Pelaez
- Social Worker
- Brooklyn, NY
National Provider Identifier
1043663156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- P02655
- Practice address
- 260 Broadway
Brooklyn, NY 11211-8433 - Phone
- (347) 505-5196
- NPI assigned
- Jul 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | P02655 | NY | Primary |
Addresses
Primary practice location
260 Broadway
Brooklyn, NY 11211-8433
Mailing address
552 W 188TH St Apt 31
New York, NY 10040-4556
Phone (646) 359-8608
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 |
|---|---|---|---|
| P02655 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468454400000",
"number": "1043663156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "552 W 188TH ST APT 31",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100404556",
"telephone_number": "646-359-8608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "260 BROADWAY",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112118433",
"telephone_number": "347-505-5196"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONTON-PELAEZ",
"first_name": "EDREI",
"middle_name": "ADRIANNI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-14",
"last_updated": "2016-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "P02655",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.