Individual provider Active NPI

Maria A Pelella

  • Registered Nurse
  • West Point, NY
National Provider Identifier
1487838801
Registry record updated Dec 20, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
412862 Issued in NY
Practice address
900 Washington Rd
West Point, NY 10996-1109
Phone
(845) 938-6886
Fax
(845) 938-6541
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 412862 NY Primary
Pediatric Registered Nurse 163WP0200X 20010581 NY

Addresses

Primary practice location

900 Washington Rd
West Point, NY 10996-1109

Mailing address

900 Washington Rd
West Point, NY 10996-1109
Phone (845) 938-6886

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

LicenseStateTypeSpecialty
412862NYMDRegistered Nurse
20010581NYMDPediatric Registered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198108800000",
    "number": "1487838801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-6886",
            "fax_number": "845-938-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 WASHINGTON RD",
            "city": "WEST POINT",
            "state": "NY",
            "postal_code": "109961109",
            "telephone_number": "845-938-6886",
            "fax_number": "845-938-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELELLA",
        "first_name": "MARIA",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2007-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "412862",
            "primary": true
        },
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "NY",
            "license": "20010581",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Point, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2007; 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.