Individual provider Active NPI

Glenis I Paz Perez, LPN

  • Licensed Practical Nurse
  • Mastic Beach, NY
National Provider Identifier
1437066792
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
348929 Issued in NY
Practice address
135 Riverside Ave
Mastic Beach, NY 11951-1123
Phone
(631) 633-6826
NPI assigned
Aug 24, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 348929 NY Primary

Addresses

Primary practice location

135 Riverside Ave
Mastic Beach, NY 11951-1123

Mailing address

135 Riverside Ave
Mastic Beach, NY 11951-1123
Phone (631) 633-6826

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1437066792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 RIVERSIDE AVE",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511123",
            "telephone_number": "631-633-6826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 RIVERSIDE AVE",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "119511123",
            "telephone_number": "631-633-6826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAZ PEREZ",
        "first_name": "GLENIS",
        "middle_name": "I",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "348929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mastic Beach, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.