Individual provider Active NPI

Constance Renee Pietrunti, LPN

  • Licensed Practical Nurse
  • Staten Island, NY
National Provider Identifier
1477358984
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
271204 Issued in NY
Practice address
42 Piave Ave
Staten Island, NY 10305-4434
Phone
(929) 603-7716
NPI assigned
Feb 18, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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 271204 NY Primary

Addresses

Primary practice location

42 Piave Ave
Staten Island, NY 10305-4434

Mailing address

42 Piave Ave
Staten Island, NY 10305-4434
Phone (929) 603-7716

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

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1477358984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 PIAVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054434",
            "telephone_number": "929-603-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 PIAVE AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103054434",
            "telephone_number": "929-603-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETRUNTI",
        "first_name": "CONSTANCE",
        "middle_name": "RENEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "271204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.