Ellen P Percoco, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

681592 Issued in NY

Practice address

110 Silver Lake Rd
Staten Island, NY 10301-2725

Phone

(347) 598-6521

NPI assigned

Jun 4, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1235542598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SILVER LAKE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012725",
            "telephone_number": "347-598-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SILVER LAKE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103012725",
            "telephone_number": "347-598-6521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCOCO",
        "first_name": "ELLEN",
        "middle_name": "P",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "681592",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGISTERED NURSE",
            "identifier": "681592",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Peralta, M.S.
• Andrea Therese Perau
• Marina Perazzo, PA
• Lina Percaccio, MS. ED.
• John Joseph Perchiacca, REGISTERED PHARMACIS
• Michael Robert Percoco, PT,DPT
• Lauren Percodani, OTR
• Carmela Percontra, RN, MS, CLT
• Athanassios Perdios, M.D.
• Valeriya Perebeynos

• Registered Nurse in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2014; 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.