Renee Lynn Peckovitch, RN

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

473992 Issued in NY

Practice address

9 Dedrick Rd
Catskill, NY 12414-5409

Phone

(518) 943-3410

NPI assigned

Jan 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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": "1232409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232409600000",
    "number": "1255578720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DEDRICK RD",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145409",
            "telephone_number": "518-943-3410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DEDRICK RD",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124145409",
            "telephone_number": "518-943-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECKOVITCH",
        "first_name": "RENEE",
        "middle_name": "LYNN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-20",
        "last_updated": "2009-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "473992",
            "primary": true
        },
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "473992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lincoln Esmay Page, DPM
• Janet Paluch
• Antoinette F Patel, LPN
• Elisabeth Patterson
• Holly L Pavlin, RN, BSN
• Pediatric Dentistry of Kingston PLLC (Pediatric Dentistry of Catskill)
• Janis Lynn Pforsich, OTR
• Kathleen Pickston, RN
• Joseph M Pilatich III, D.D.S.
• Theresa Marie Pittman, NP

• General Practice Registered Nurse in Catskill, NY
• Providers in Catskill, 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 Jan 20, 2009; 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.