Individual provider Active NPI

Angela Joanne Paolercio, REGISTERED NURSE

  • Registered Nurse
  • Bronx, NY
National Provider Identifier
1528225141
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
4776091 Issued in NY
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

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
4776091NYMDRegistered 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.

Verify at the official NPI Registry.