Individual provider Active NPI

Lonnie Lee Pedicini, LPN

  • Licensed Practical Nurse
  • Copiague, NY
National Provider Identifier
1801522701
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
337823 Issued in NY
Practice address
1163 Montauk Hwy Apt B5
Copiague, NY 11726-4949
Phone
(631) 838-7261
NPI assigned
Jul 25, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X 337823 NY Primary

Addresses

Primary practice location

1163 Montauk Hwy Apt B5
Copiague, NY 11726-4949

Mailing address

1163 Montauk Hwy Apt B5
Copiague, NY 11726-4949
Phone (631) 838-7261

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

NPI Registry JSON

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

{
    "created_epoch": "1658707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1801522701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1163 MONTAUK HWY APT B5",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264949",
            "telephone_number": "631-838-7261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 MONTAUK HWY APT B5",
            "city": "COPIAGUE",
            "state": "NY",
            "postal_code": "117264949",
            "telephone_number": "631-838-7261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEDICINI",
        "first_name": "LONNIE",
        "middle_name": "LEE",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-25",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "337823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Copiague, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.