Andrea Priamo, M.S. E.D

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

111261 Issued in NY

Practice address

188 Thames St
Port Jeff Sta, NY 11776-2534

Phone

(631) 942-8847

NPI assigned

Jul 23, 2012

Last updated

Jul 23, 2012By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1343001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343001600000",
    "number": "1700131067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 THAMES ST",
            "city": "PORT JEFF STA",
            "state": "NY",
            "postal_code": "117762534",
            "telephone_number": "631-942-8847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "188 THAMES ST",
            "city": "PORT JEFF STA",
            "state": "NY",
            "postal_code": "117762534",
            "telephone_number": "631-942-8847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIAMO",
        "first_name": "ANDREA",
        "name_prefix": "Mrs.",
        "credential": "M.S. E.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-23",
        "last_updated": "2012-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NY",
            "license": "111261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheryl Nodeland, RN
• Leah M Pasquarella, RD CDN
• Meghan Katie Picciano
• Port Jeff Medicine, P.C.
• Port Jefferson Therapeutic Massage P.C.
• Michael Victor Rella
• Judith Remigio
• Alicia Patrice Rodriguez, L.P.N.
• Megan Santos, REGISTERED NURSE
• Leanne Schreiber

• Early Intervention Provider Agency in Port Jeff Sta, NY
• Providers in Port Jeff Sta, NY by specialty
• Early Intervention Provider Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.