Tiffany Michelle Pereda, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

677849-01 Issued in NY

Practice address

3 Tygert Rd
Blauvelt, NY 10913-1419

Phone

(845) 521-8665

NPI assigned

Sep 26, 2026

Last updated

Sep 26, 2026By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1790380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790380800000",
    "number": "1083527311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 TYGERT RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 TYGERT RD",
            "city": "BLAUVELT",
            "state": "NY",
            "postal_code": "109131419",
            "telephone_number": "845-521-8665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREDA",
        "first_name": "TIFFANY",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-26",
        "last_updated": "2026-09-26",
        "certification_date": "2026-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "677849-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Kathryn O'Callaghan, PT
• Loryn O'Gorman, RN
• Bernadette O'Shea
• Optimal Otpt
• Kenneth Mark Pardo, DDS
• Andrew Charles Philip, PHD
• Physico-Connect PT PC
• Tracey E Polizzi, PH.D.
• Procore Physical Therapy P.C.
• Procore Physical Therapy, P.C.

• General Practice Registered Nurse in Blauvelt, NY
• Providers in Blauvelt, 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 Sep 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.