Active NPI
Eileen Marie Pedreira
- Specialist
- Shirley, NY
National Provider Identifier
1164558698
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 37 Manor Dr
Shirley, NY 11967-4213 - Phone
- (631) 395-3276
- NPI assigned
- Feb 26, 2007
- Last updated
- Jul 26, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | NY | Primary |
Addresses
Primary practice location
37 Manor Dr
Shirley, NY 11967-4213
Mailing address
37 Manor Dr
Shirley, NY 11967-4213
Phone (631) 395-3276
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1185408000000",
"number": "1164558698",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MANOR DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674213",
"telephone_number": "631-395-3276"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "37 MANOR DR",
"city": "SHIRLEY",
"state": "NY",
"postal_code": "119674213",
"telephone_number": "631-395-3276"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEDREIRA",
"first_name": "EILEEN",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-26",
"last_updated": "2007-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shirley, NY
- Nicole Lyn Pallateri, RN
- Palmblad & Smit Dental, PLLC (Smile Makers)
- Pamela a Weber MD PC
- Pathmark Stores Inc (Pathmark Pharmacy)
- Amandy Patino
- Shannon Naomi Pendergast, LPN
- Annamaria Pepitone, FNP-C
- Bianca Pereira, OTD, OTR/L, CTRS
- Elyhia Perez-Cruz, PHARMACIST
- Personal Touch Home Care of Long Island, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.