John Albert Delfin Pielago

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

02082022 Issued in NY

Practice address

14403 Barclay Ave Apt 1C
Flushing, NY 11355-1552

Phone

(646) 424-1899

NPI assigned

Nov 16, 2022

Last updated

Feb 16, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• John Albert Pielago Professional name

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": "1668556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676505600000",
    "number": "1386353688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14403 BARCLAY AVE APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551552",
            "telephone_number": "646-424-1899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14403 BARCLAY AVE APT 1C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113551552",
            "telephone_number": "646-424-1899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIELAGO",
        "first_name": "JOHN ALBERT",
        "middle_name": "DELFIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-16",
        "last_updated": "2023-02-16",
        "certification_date": "2023-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "02082022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "PIELAGO",
            "middle_name": "ALBERT",
            "credential": "RN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Registered Nurse in Flushing, NY
• Providers in Flushing, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; 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.