Consolacion Tanedo Pimentel, MD

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

167505 Issued in NY

Practice address

430 Strawtown Rd
West Nyack, NY 10994-1236

Phone

(845) 638-3321

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

Enrolled

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: cpimentel839486@nychhc.direct-ci.com

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780756361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "234 E 149TH ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104515504",
            "telephone_number": "718-579-5000",
            "fax_number": "718-579-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 STRAWTOWN RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941236",
            "telephone_number": "845-638-3321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIMENTEL",
        "first_name": "CONSOLACION",
        "middle_name": "TANEDO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "167505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Elizabeth Paucar, LCSW
• Anthony George Pavone, D.D.S. M.D.
• Pediatric Cardiology of Rockland, PLLC
• Xiangmin Peng, MD
• Pamela Picker, CF-SLP, TSSLD
• Charis Olympia Pinkston, R.N.
• Natalie Pliner
• Gregory Polar, D.O.
• Jared Policar, RN, BSN
• Mark W Pomerantz, MD

• Pediatric Nephrology Physician in West Nyack, NY
• Providers in West Nyack, NY by specialty
• Pediatric Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.