Active NPI
Rodelio Pecson
- Registered Nurse
- West Orange, NJ
National Provider Identifier
1720300692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 611717
- Practice address
- 25 Garfield Ave
West Orange, NJ 07052-2326 - Phone
- (973) 517-4078
- NPI assigned
- Feb 19, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 611717 | NY | Primary |
Addresses
Primary practice location
25 Garfield Ave
West Orange, NJ 07052-2326
Mailing address
25 Garfield Ave
West Orange, NJ 07052-2326
Phone (973) 517-4078
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 611717 | NY | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266537600000",
"number": "1720300692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 GARFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522326",
"telephone_number": "973-517-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 GARFIELD AVE",
"city": "WEST ORANGE",
"state": "NJ",
"postal_code": "070522326",
"telephone_number": "973-517-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECSON",
"first_name": "RODELIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-19",
"last_updated": "2010-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "611717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Orange, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.