Michelle Pelage, R.N.

Primary specialty

Infusion Therapy Registered NurseTaxonomy code 163WI0500X

License

528598 Issued in NY

Practice address

6143 186TH St Ste C114
Fresh Meadows, NY 11365-2710

Phone

(718) 551-6139

NPI assigned

Jan 17, 2014

Last updated

Apr 20, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Leap of Faith Infusion Services, LLC

  • Infusion Therapy Registered Nurse
  • Fresh Meadows, NY
  • NPI 1538730825
  NPD Authorized official

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

{
    "created_epoch": "1389916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618876800000",
    "number": "1669894143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6143 186TH ST STE C114",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "718-551-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6143 186TH ST STE C114",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652710",
            "telephone_number": "718-551-6139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAGE",
        "first_name": "MICHELLE",
        "credential": "R.N.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-17",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "NY",
            "license": "22 528598",
            "primary": false
        },
        {
            "code": "163WI0500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Infusion Therapy",
            "state": "NY",
            "license": "528598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrice Powell Adult Health NP PLLC
• Maria Patruno, RD
• David Pazos, OPHTHALMIC DISPENSER
• Pediatric Ophthalmology P.C. (Pediatric Eye MD)
• Lei Lei Pei
• Jennifer Pena Sanchez
• Heidi Angelina Pena
• Luz Celeste Pena, ME.SD.
• Yelitza Perdomo
• Jessica Enid Perez, MS OTR/L

• Infusion Therapy Registered Nurse in Fresh Meadows, NY
• Providers in Fresh Meadows, NY by specialty
• Infusion Therapy Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.