Omar Pecou, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

343411 Issued in NY

Practice address

140 Route 303 Ste a
Valley Cottage, NY 10989-5907

Phone

(845) 267-2172

Fax

(845) 268-3964

NPI assigned

Sep 5, 2023

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

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)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Mental Health Association of Westchester County, Inc.

  • Community/Behavioral Health Agency
  • White Plains, NY
  • NPI 1942306873
  NPD
• Mental Health Association of Rockland County, Inc.

  • Voluntary or Charitable Agency
  • Valley Cottage, NY
  • NPI 1326105446
  NPD (past)

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

{
    "created_epoch": "1693872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1922884196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ROUTE 303 STE A",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109895907",
            "telephone_number": "845-267-2172",
            "fax_number": "845-268-3964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ROUTE 303 STE A",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109895907",
            "telephone_number": "845-267-2172",
            "fax_number": "845-268-3964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PECOU",
        "first_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-09-05",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "343411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jahan Ortiz, CASAC
• Palisades Lymphedema & Oncology Physiotherapy, RLLP
• Christina Pamphile
• Tiffanie Parker-Lewin
• Pathway Nutrition LLC
• Luisa Perdigo
• Russ Petro, DVM
• Laura Picozzi, OT
• Tara Jean Pizzuto-Sullivan, OTR/L
• Monique Polanco, LMSW

• Licensed Practical Nurse in Valley Cottage, NY
• Providers in Valley Cottage, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.