Pelham Medical Practice & Aesthetic Lounge, LLC.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

PELHAM MEDICAL PRACTICE & AESTHETIC LOUNGE, LLC.

Practice address

5979 Vineland Rd Ste 207
Orlando, FL 32819-7855

Phone

(407) 893-1181

Fax

(407) 440-8269

NPI assigned

Feb 9, 2023

Organization subpart

No

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

Authorized official

Name

Janadra Dean Greenidge, NPNPI 1881233526

Title

Owner

Phone

(407) 893-1181

Specialties & licenses 1

Addresses

Other names 1

• Pelham Medical Consulting & Aesthetic Lounge, LLC. Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janadra Dean Greenidge, APRN

  • Primary Care Nurse Practitioner
  • Orlando, FL
  • NPI 1881233526

  Family

  NPD Authorized official

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

{
    "created_epoch": "1675900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1639876733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 207",
            "address_2": "SUITE 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "407-893-1181",
            "fax_number": "407-440-8269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5979 VINELAND RD STE 207",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197855",
            "telephone_number": "407-893-1181",
            "fax_number": "407-440-8269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELHAM MEDICAL PRACTICE & AESTHETIC LOUNGE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-09",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "GREENIDGE",
        "authorized_official_first_name": "JANADRA",
        "authorized_official_middle_name": "DEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "407-893-1181",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pelham Medical Consulting & Aesthetic Lounge, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Pelham Medical Consulting & Aesthetic Lounge, LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Nicholas Pekmezian
• Aura Pamela Pelaez
• Priscila E Pelaez, MSW
• Ganga Pelayo, RDH
• Chandler Pelfrey, BCBA
• Rachel Pelham-Jones, MSW INTERN
• Pelican Beach Inc (33rd Street Family Medical Center)
• Esther Luc Pelissier, APRN
• Carlos Manuel Pellecier III
• Mario Emilio Pelletier, M.D.

• Family Nurse Practitioner in Orlando, FL
• Providers in Orlando, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; 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.