Antaline Pecoraro, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

885586 Issued in NY

Practice address

1300 College Ave
Elmira, NY 14901-1154

Phone

(607) 733-4504

NPI assigned

May 15, 2017

Last updated

May 27, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1494806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685145600000",
    "number": "1659808202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 W 6TH ST",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 COLLEGE AVE",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149011154",
            "telephone_number": "607-733-4504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECORARO",
        "first_name": "ANTALINE",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-15",
        "last_updated": "2023-05-27",
        "certification_date": "2023-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "2948161",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "885586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Paul
• Kristen Lynne Pauline
• Che Paulman
• Jeanine Marie Pautz, RN
• Jennifer Marie Peabody, MSPT
• Cathy E Pelchar, LCSW-R
• Rosemary Pellett, LPN
• Tiffany Amber Pelrah, DPT
• Lorrie Penfield, M.D.
• Jaclyn Perkins, MS, OTR/L

• Registered Nurse in Elmira, NY
• Providers in Elmira, NY by specialty
• Registered Nurse in New York

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