Active NPI
Crystal Pegus
- School Registered Nurse
- Brooklyn, NY
National Provider Identifier
1366750085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 556878
- Practice address
- 50 E 19TH St
Apt D4
Brooklyn, NY 11226-4470 - Phone
- (347) 278-2154
- NPI assigned
- Sep 15, 2010
- 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 |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 556878 | NY | Primary |
Addresses
Primary practice location
50 E 19TH St
Apt D4
Brooklyn, NY 11226-4470
Mailing address
50 E 19TH St
Apt D4
Brooklyn, NY 11226-4470
Phone (347) 278-2154
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 556878 | NY | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284508800000",
"number": "1366750085",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 E 19TH ST",
"address_2": "APT D4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264470",
"telephone_number": "347-278-2154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 E 19TH ST",
"address_2": "APT D4",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112264470",
"telephone_number": "347-278-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEGUS",
"first_name": "CRYSTAL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-09-15",
"last_updated": "2010-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "NY",
"license": "556878",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.