Carol Ann Petti-Garden

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

188392 Issued in NY

Practice address

14502 Farmers Blvd
Jamaica, NY 11434-5024

Phone

(718) 527-5220

Fax

(718) 527-0463

NPI assigned

Mar 22, 2012

Last updated

Mar 22, 2012By 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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1332374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332374400000",
    "number": "1366718421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14502 FARMERS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345024",
            "telephone_number": "718-527-5220",
            "fax_number": "718-527-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14502 FARMERS BLVD",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114345024",
            "telephone_number": "718-527-5220",
            "fax_number": "718-527-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTI-GARDEN",
        "first_name": "CAROL",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-22",
        "last_updated": "2012-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "188392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sachidanand Rao Peteru, M.D.
• Margaret A Petrosino, LMSW
• Tamara Viktory Petrosyan, O.D.
• Leah Petrucelli
• Grzegorz Petryk, M.D.
• Venica Phagooram, MS OTR/L
• Cindy Pham
• Pharmacy4Humanity (AHF Pharmacy)
• Pharmex Pharmacy Inc
• Pharmex Pharmacy Inc.

• School Registered Nurse in Jamaica, NY
• Providers in Jamaica, NY by specialty
• School Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2012; 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.