Individual provider Active NPI

Gloria Ines Pelaez-Shea, M.S., ED.

  • Specialist
  • Cedarhurst, NY
National Provider Identifier
1679818447
Registry record updated Dec 6, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
327146031 Issued in NY
Practice address
385 Pearsall Ave
Suite 1
Cedarhurst, NY 11516-1800
Phone
(516) 371-1818
Fax
(516) 371-0675
NPI assigned
Dec 6, 2012
Last updated
Dec 6, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 769089 NY
Specialist 174400000X 327147031 NY
Specialist 174400000X 327146031 NY Primary

Addresses

Primary practice location

385 Pearsall Ave
Suite 1
Cedarhurst, NY 11516-1800

Mailing address

385 Pearsall Ave
Suite 1
Cedarhurst, NY 11516-1800
Phone (516) 371-1818

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
327146031NYMDSpecialist
327147031NYMDSpecialist
769089NYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1354752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354752000000",
    "number": "1679818447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "385 PEARSALL AVE",
            "address_2": "SUITE 1",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161800",
            "telephone_number": "516-371-1818",
            "fax_number": "516-371-0675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "385 PEARSALL AVE",
            "address_2": "SUITE 1",
            "city": "CEDARHURST",
            "state": "NY",
            "postal_code": "115161800",
            "telephone_number": "516-371-1818",
            "fax_number": "516-371-0675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PELAEZ-SHEA",
        "first_name": "GLORIA",
        "middle_name": "INES",
        "name_prefix": "Ms.",
        "credential": "M.S., ED.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-06",
        "last_updated": "2012-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "769089",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "327147031",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "327146031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedarhurst, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2012; 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.