Individual provider Active NPI

Elizabeth Pereira, R.N.

  • School Registered Nurse
  • Manhattan, NY
National Provider Identifier
1457619983
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Registered NurseTaxonomy code 163WS0200X
License
351264 Issued in NY
Practice address
413 East 120TH Street, 2ND / 3Rd Floor
Harlem Multi-Service Center - Dohmh Osh
Manhattan, NY 10035-3602
Phone
(917) 492-6950
Fax
(917) 492-6972
NPI assigned
May 3, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Registered Nurse 163WS0200X 351264 NY Primary

Addresses

Primary practice location

413 East 120TH Street, 2ND / 3Rd Floor
Harlem Multi-Service Center - Dohmh Osh
Manhattan, NY 10035-3602

Mailing address

413 East 120TH Street, 2ND / 3Rd Floor
Harlem Multi-Service Center - Dohmh Osh
Manhattan, NY 10035-3602
Phone (917) 492-6950

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
Registered Nurse

State licenses

LicenseStateTypeSpecialty
351264NYMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1336003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336003200000",
    "number": "1457619983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 EAST 120TH STREET, 2ND / 3RD FLOOR",
            "address_2": "HARLEM MULTI-SERVICE CENTER - DOHMH OSH",
            "city": "MANHATTAN",
            "state": "NY",
            "postal_code": "100353602",
            "telephone_number": "917-492-6950",
            "fax_number": "917-492-6972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 EAST 120TH STREET, 2ND / 3RD FLOOR",
            "address_2": "HARLEM MULTI-SERVICE CENTER - DOHMH OSH",
            "city": "MANHATTAN",
            "state": "NY",
            "postal_code": "100353602",
            "telephone_number": "917-492-6950",
            "fax_number": "917-492-6972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "ELIZABETH",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-03",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "NY",
            "license": "351264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.