Penelope Theodoropoulos

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

743177 Issued in NY

Practice address

3012 35TH St FL 1
Astoria, NY 11103-4702

Phone

(347) 280-3581

NPI assigned

Mar 30, 2026

Last updated

Mar 30, 2026By 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

State licenses

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

{
    "created_epoch": "1774828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774828800000",
    "number": "1740120930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1680 PELHAM PKWY S APT 509",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104611134",
            "telephone_number": "908-938-0682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3012 35TH ST FL 1",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111034702",
            "telephone_number": "347-280-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEODOROPOULOS",
        "first_name": "PENELOPE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-03-30",
        "last_updated": "2026-03-30",
        "certification_date": "2026-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NY",
            "license": "743177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Astoria, NY
• Providers in Astoria, 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 Mar 30, 2026; 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.