Diana Perreco

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

234917 Issued in NY

Practice address

47 Montauk Dr
Mastic Beach, NY 11951

Phone

(631) 560-9422

NPI assigned

Feb 6, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1689173577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 MONTAUK DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "11951",
            "telephone_number": "631-560-9422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 MONTAUK DR",
            "city": "MASTIC BEACH",
            "state": "NY",
            "postal_code": "11951",
            "telephone_number": "631-560-9422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRECO",
        "first_name": "DIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "234917",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodiann Pantry, ED.D
• Glenis I Paz Perez, LPN
• Shelley Peasley, COTA
• Guillermo W Perez
• Lisa Marie Peron, PT PHYSICAL THERAPIS
• Lynnann Pfautsch, RN
• Alexis Marie Pineiro
• Beverly Pinnock, BSN
• Jadeja Purdie
• Fabiola Reid, LCSW

• Licensed Practical Nurse in Mastic Beach, NY
• Providers in Mastic Beach, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.