Individual provider Active NPI

Trisha Constance Pagliucajohnson, MSED. TSHH

  • Specialist
  • Pawling, NY
National Provider Identifier
1942561055
Registry record updated Jun 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
651967052 Issued in NY
Practice address
90 W Deer TRL
Pawling, NY 12564-2170
Phone
(845) 855-0467
NPI assigned
Jun 5, 2012
Last updated
Jun 5, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 651967052 NY Primary
Specialist 174400000X 5195061 NY

Addresses

Primary practice location

90 W Deer TRL
Pawling, NY 12564-2170

Mailing address

90 W Deer TRL
Pawling, NY 12564-2170
Phone (845) 855-0467

Other identifiers 2

IdentifierTypeStateIssuer
5195061OtherNYNYS DEPT OF EDUCTION
651967052OtherNYNYS DEPT OF EDUCATION

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

State licenses

LicenseStateTypeSpecialty
5195061NYMDSpecialist
651967052NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Apjmarketing, Corp Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1338854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338854400000",
    "number": "1942561055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W DEER TRL",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125642170",
            "telephone_number": "845-855-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W DEER TRL",
            "city": "PAWLING",
            "state": "NY",
            "postal_code": "125642170",
            "telephone_number": "845-855-0467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGLIUCAJOHNSON",
        "first_name": "TRISHA",
        "middle_name": "CONSTANCE",
        "name_prefix": "Mrs.",
        "credential": "MSED. TSHH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-05",
        "last_updated": "2012-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "651967052",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "5195061",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT OF EDUCTION",
            "identifier": "5195061",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS DEPT OF EDUCATION",
            "identifier": "651967052",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pawling, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2012; 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.