Individual provider Active NPI

Linda Perceval, RN

  • Registered Nurse
  • Massapequa Park, NY
National Provider Identifier
1134656028
Registry record updated May 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
602657-1 Issued in NY
Practice address
483 Atlantic Ave
Massapequa Park, NY 11762-1339
Phone
(516) 804-5708
NPI assigned
May 22, 2017
Last updated
May 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 602657-1 NY Primary

Addresses

Primary practice location

483 Atlantic Ave
Massapequa Park, NY 11762-1339

Mailing address

483 Atlantic Ave
Massapequa Park, NY 11762-1339

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
602657-1NYMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1495411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495411200000",
    "number": "1134656028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "483 ATLANTIC AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "483 ATLANTIC AVE",
            "city": "MASSAPEQUA PARK",
            "state": "NY",
            "postal_code": "117621339",
            "telephone_number": "516-804-5708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCEVAL",
        "first_name": "LINDA",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-22",
        "last_updated": "2017-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "602657-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa Park, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2017; 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.