Nallelis Carolina Peralta Pena, RDH

Primary specialty

Dental HygienistTaxonomy code 124Q00000X

License

031247 Issued in NY

Practice address

85 W Burnside Ave
Bronx, NY 10453-4015

Phone

(718) 716-4400

NPI assigned

May 12, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1620777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1982288213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 COURTLANDT AVE APT 310",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104514958",
            "telephone_number": "646-417-4003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 W BURNSIDE AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534015",
            "telephone_number": "718-716-4400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1771 Andrews Ave S",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104536803",
            "country_code": "US",
            "telephone_number": "718-731-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERALTA PENA",
        "first_name": "NALLELIS",
        "middle_name": "CAROLINA",
        "credential": "RDH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-12",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "031247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harrison Peprah-Mensah
• Ebenezer Peprah
• Emmanuel Kwarteng Peprah, M.D.
• Denise Perales, TSHH
• Orlando Perales, MD
• Danilo Alejandro Peralta, M.D
• Fernando Emmanuel Peralta
• Indira Peralta, RN
• Jennifer Denise Peralta, CASAC-T
• Johanna Lissette Peralta, LMSW

• Dental Hygienist in Bronx, NY
• Providers in Bronx, NY by specialty
• Dental Hygienist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; 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.