Andrea M Pisano, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

233154 Issued in NY

Practice address

2 Mildred CT
Nesconset, NY 11767-1606

Phone

(631) 240-4752

NPI assigned

Oct 29, 2011

Last updated

Oct 29, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1319846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319846400000",
    "number": "1366728750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MILDRED CT",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671606",
            "telephone_number": "631-240-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MILDRED CT",
            "city": "NESCONSET",
            "state": "NY",
            "postal_code": "117671606",
            "telephone_number": "631-240-4752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PISANO",
        "first_name": "ANDREA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-10-29",
        "last_updated": "2011-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "233154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vincent P Pagan
• Sarah M Pappas
• Daniel Paratore, PH.D.
• Tara Ann Phaff, DPT
• Thomas Phillips
• Jeanine Marie Pistilli, D.D.S.
• Adam P Postel, D.M.D
• Premier Hearing Aid Center, Inc.
• Alan Edward Prestia, MD
• Primary Medical Care of Suffolk County, P.C.

• Licensed Practical Nurse in Nesconset, NY
• Providers in Nesconset, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2011; 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.