Individual provider Active NPI

Carole Peyra Luzentales, MS ED/SPED

  • Specialist
  • Astoria, NY
National Provider Identifier
1376806703
Registry record updated Jun 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
1920812 Issued in NY
Practice address
37-11 35TH Avenue
3C and 3G
Astoria, NY 11101
Phone
(718) 706-7500
Fax
(718) 706-9595
NPI assigned
Jun 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 1920812 NY Primary

Addresses

Primary practice location

37-11 35TH Avenue
3C and 3G
Astoria, NY 11101

Mailing address

6956 Caldwell Ave
2ND Floor
Maspeth, NY 11378-2636
Phone (347) 285-5789

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1920812NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Wip Nyc, Inc CurrentSince Oct 6, 2024 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1340150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340150400000",
    "number": "1376806703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6956 CALDWELL AVE",
            "address_2": "2ND FLOOR",
            "city": "MASPETH",
            "state": "NY",
            "postal_code": "113782636",
            "telephone_number": "347-285-5789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37-11 35TH AVENUE",
            "address_2": "3C AND 3G",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "11101",
            "telephone_number": "718-706-7500",
            "fax_number": "718-706-9595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUZENTALES",
        "first_name": "CAROLE",
        "middle_name": "PEYRA",
        "name_prefix": "Miss",
        "credential": "MS ED/SPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-20",
        "last_updated": "2012-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "1920812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.