Individual provider Active NPI

Carole Jane Pelaia, LPN

  • Attendant Care Provider
  • Beacon, NY
National Provider Identifier
1649885666
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
License
225813 Issued in NY
Practice address
100 Forrestal HTS
Beacon, NY 12508-3733
Phone
(845) 797-0258
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193400000X SINGLE SPECIALTY GROUP 3747A0650X 225813 NY Primary

Addresses

Primary practice location

100 Forrestal HTS
Beacon, NY 12508-3733

Mailing address

7 Roundtree CT
Beacon, NY 12508-2117
Phone (845) 797-0258

Other identifiers 1

IdentifierTypeStateIssuer
3747A0650XMedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 3747A0650X Direct

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
225813NYMDAttendant Care Provider

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649885666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 ROUNDTREE CT",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125082117",
            "telephone_number": "845-797-0258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 FORRESTAL HTS",
            "city": "BEACON",
            "state": "NY",
            "postal_code": "125083733",
            "telephone_number": "845-797-0258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAIA",
        "first_name": "CAROLE",
        "middle_name": "JANE",
        "name_prefix": "Miss",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2023-11-27",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747A0650X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Attendant Care Provider",
            "state": "NY",
            "license": "225813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3747A0650X",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "3747A0650X",
            "affiliation": "Y",
            "endpointDescription": "Technical Attendant Care Provider",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Care Provider",
            "address_1": "100 Forrestal Hts",
            "city": "Beacon",
            "state": "NY",
            "country_code": "US",
            "postal_code": "125083733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beacon, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2023; 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.