Active NPI
Santandria Pean
- Licensed Practical Nurse
- Berlin, NJ
National Provider Identifier
1619513207
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- PN281736
- Practice address
- 211 Vandon Loop
Berlin, NJ 08009-9724 - Phone
- (609) 724-6199
- NPI assigned
- Nov 19, 2019
- Last updated
- Nov 19, 2019
- 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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | PN281736 | NJ | Primary |
Addresses
Primary practice location
211 Vandon Loop
Berlin, NJ 08009-9724
Mailing address
211 Vandon Loop
Berlin, NJ 08009-9724
Phone (609) 724-6199
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 |
|---|---|---|---|
| PN281736 | NJ | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1574121600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1619513207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 VANDON LOOP",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099724",
"telephone_number": "609-724-6199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "211 VANDON LOOP",
"city": "BERLIN",
"state": "NJ",
"postal_code": "080099724",
"telephone_number": "609-724-6199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEAN",
"first_name": "SANTANDRIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-11-19",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "NJ",
"license": "PN281736",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, NJ
- Pratima D Parikh, M.D.
- Partners in Primary Care Inc
- Jack Brett Passarella, LMT
- Patricia Ann Spiegel DC LLC (Berlin Chiropractic)
- Lisa Paul, APRN
- Personalized Independent Living Opportunities and Training Services
- Personalized Independent Living Opportunities and Training Services (P.I.L.O.T. Services)
- Personalized Independent Living Opporuntities & Training Services (P.I.L.O.T. Services)
- Personalized Independent Living Opporuntities & Training Services
- Sang Phan, PT, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.