Carmela Percontra, RN, MS, CLT

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

License

381550 Issued in NY

Practice address

2235 Clove Rd
Staten Island, NY 10305-1566

Phone

(718) 815-8100

Fax

(718) 815-8200

NPI assigned

Nov 29, 2008

Last updated

Jan 17, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science, Registered Nurse

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• New York Surgical Assoc PC

  • Surgery Physician
  • Staten Island, NY
  • NPI 1275505042
  NPD (past)

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

{
    "created_epoch": "1227916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263686400000",
    "number": "1477708741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 TROUTMAN ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112066105",
            "telephone_number": "917-292-7198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2235 CLOVE RD",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103051566",
            "telephone_number": "718-815-8100",
            "fax_number": "718-815-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERCONTRA",
        "first_name": "CARMELA",
        "name_prefix": "Ms.",
        "credential": "RN, MS, CLT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-29",
        "last_updated": "2010-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NY",
            "license": "381550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lina Percaccio, MS. ED.
• John Joseph Perchiacca, REGISTERED PHARMACIS
• Ellen P Percoco, RN
• Michael Robert Percoco, PT,DPT
• Lauren Percodani, OTR
• Athanassios Perdios, M.D.
• Valeriya Perebeynos
• Leonid Perederey, PHARMD.
• Allan B Perel, M.D.
• Susan Dara Perel

• Community Health Worker in Staten Island, NY
• Providers in Staten Island, NY by specialty
• Community Health Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2010; 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.