Active NPI
Laura Picarelli
- Specialist
- Farmingdale, NY
National Provider Identifier
1396166211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 819452
- Practice address
- 500 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3988 - Phone
- (718) 264-1640
- NPI assigned
- Dec 18, 2013
- Last updated
- Dec 18, 2013
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 819452 | NY | Primary |
Addresses
Primary practice location
500 Bi County Blvd
Suite 114
Farmingdale, NY 11735-3988
Mailing address
665 Alanon Rd
Ridgewood, NJ 07450-5327
Phone (201) 444-2409
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 |
|---|---|---|---|
| 819452 | NY | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387324800000",
"number": "1396166211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 ALANON RD",
"city": "RIDGEWOOD",
"state": "NJ",
"postal_code": "074505327",
"telephone_number": "201-444-2409"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 BI COUNTY BLVD",
"address_2": "SUITE 114",
"city": "FARMINGDALE",
"state": "NY",
"postal_code": "117353988",
"telephone_number": "718-264-1640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PICARELLI",
"first_name": "LAURA",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-12-18",
"last_updated": "2013-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "819452",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmingdale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.