Individual provider Active NPI

Suzana Mercedes Perez Pimentel

  • Local Education Agency (LEA)
  • Bay Shore, NY
National Provider Identifier
1881075729
Registry record updated Jun 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Local Education Agency (LEA)Taxonomy code 251300000X
Practice address
59 E Main St
Apt 19
Bay Shore, NY 11706-8332
Phone
(516) 724-5282
NPI assigned
Jun 16, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Local Education Agency (LEA) 251300000X Primary
Early Intervention Provider Agency 252Y00000X

Addresses

Primary practice location

59 E Main St
Apt 19
Bay Shore, NY 11706-8332

Mailing address

59 E Main St
Apt 19
Bay Shore, NY 11706-8332
Phone (516) 724-5282

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": "1434412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434412800000",
    "number": "1881075729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "59 E MAIN ST",
            "address_2": "APT 19",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068332",
            "telephone_number": "516-724-5282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 E MAIN ST",
            "address_2": "APT 19",
            "city": "BAY SHORE",
            "state": "NY",
            "postal_code": "117068332",
            "telephone_number": "516-724-5282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ PIMENTEL",
        "first_name": "SUZANA",
        "middle_name": "MERCEDES",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-16",
        "last_updated": "2015-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251300000X",
            "taxonomy_group": "",
            "desc": "Local Education Agency (LEA)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Shore, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2015; 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.