Tiffany Pascal

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

799455 Issued in NY

Practice address

12828 237TH St
Rosedale, NY 11422-1041

Phone

(347) 792-8771

NPI assigned

Mar 18, 2019

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

Other identifiers 2

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1552867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599609600000",
    "number": "1720547912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4140 MESA LN",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130901616",
            "telephone_number": "347-792-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12828 237TH ST",
            "city": "ROSEDALE",
            "state": "NY",
            "postal_code": "114221041",
            "telephone_number": "347-792-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PASCAL",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-18",
        "last_updated": "2020-09-09",
        "certification_date": "2020-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "331581",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "799455",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "331581",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OFFICE OF PROFESSIONALS",
            "identifier": "799455",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Tiffan995@hotmail.com",
            "affiliation": "N",
            "address_1": "12828 237th St",
            "city": "Rosedale",
            "state": "NY",
            "country_code": "US",
            "postal_code": "114221041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Junide Pampan, LPN
• Shakira Marie Panther-Wilburg, R.N.
• Ann Pantry
• Abegail Parker, LPN
• Roxanne Parkes
• Delores Sharon Passmore, LMSW
• Paul a. Corley, M.D., P.C.
• Nirva Paul
• Shani Paul
• PC Aide Plus, Inc.

• Registered Nurse in Rosedale, NY
• Providers in Rosedale, NY by specialty
• Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2020; 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.