Active NPI
Angela Joanne Paolercio, REGISTERED NURSE
- Registered Nurse
- Bronx, NY
National Provider Identifier
1528225141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 4776091
- Practice address
- 3981 Bronxwood Ave
Our Lady of Grace School
Bronx, NY 10466 - Phone
- (718) 325-8612
- NPI assigned
- May 21, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 4776091 | NY | Primary |
Addresses
Primary practice location
3981 Bronxwood Ave
Our Lady of Grace School
Bronx, NY 10466
Mailing address
1932 Arthur Ave RM 403B
The Bergen BLDG Nyc Dept of HLTH School Health Program
Bronx, NY 10457
Phone (718) 579-6853
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4776091 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1528225141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1932 ARTHUR AVE RM 403B",
"address_2": "THE BERGEN BLDG NYC DEPT OF HLTH SCHOOL HEALTH PROGRAM",
"city": "BRONX",
"state": "NY",
"postal_code": "10457",
"telephone_number": "718-579-6853",
"fax_number": "718-579-6883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3981 BRONXWOOD AVE",
"address_2": "OUR LADY OF GRACE SCHOOL",
"city": "BRONX",
"state": "NY",
"postal_code": "10466",
"telephone_number": "718-325-8612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLERCIO",
"first_name": "ANGELA",
"middle_name": "JOANNE",
"name_prefix": "Ms.",
"credential": "REGISTERED NURSE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-21",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "4776091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.