Individual provider Active NPI

Erika Abanto-Perez, LPN

  • Licensed Practical Nurse
  • Corona, NY
National Provider Identifier
1497098099
Registry record updated Apr 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
302063-1 Issued in NY
Practice address
10324 52ND Ave
3Rd Floor
Corona, NY 11368-3253
Phone
(718) 496-2931
NPI assigned
Apr 2, 2013
Last updated
Apr 2, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2013

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 302063-1 NY Primary

Addresses

Primary practice location

10324 52ND Ave
3Rd Floor
Corona, NY 11368-3253

Mailing address

10324 52ND Ave
3Rd Floor
Corona, NY 11368-3253
Phone (718) 496-2931

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
302063-1NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1364860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364860800000",
    "number": "1497098099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10324 52ND AVE",
            "address_2": "3RD FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683253",
            "telephone_number": "718-496-2931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10324 52ND AVE",
            "address_2": "3RD FLOOR",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113683253",
            "telephone_number": "718-496-2931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABANTO-PEREZ",
        "first_name": "ERIKA",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-02",
        "last_updated": "2013-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "302063-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corona, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2013; 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.