MISS CAROLE JANE PELAIA


Address: 100 Forrestal Hts, Beacon, NY 12508-3733
Phone: 8457970258

MISS CAROLE JANE PELAIA (NPI# 1649885666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649885666
Entity Type Individual
Full Name MISS CAROLE JANE PELAIA
Credential LPN
Practice Address 100 Forrestal Hts
Beacon
NY 12508-3733
Mailing Address 7 Roundtree Ct
Beacon
NY 12508-2117
Practice Telephone 8457970258
Mailing Telephone 8457970258
Enumeration Date 2020-09-15
Last Update Date 2020-09-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747A0650X Technician
Specialization: Attendant Care Provider
225813 NY Nursing Service Related Providers

Other Provider Identifier

State Issuer Identifier Type Code
NY 3747A0650X 05

Office Location

Street Address 100 FORRESTAL HTS
City BEACON
State NY
Zip Code 12508-3733

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1356859276 Katie Uwa Ngbodi Nurse Practitioner Fishkill Correctional Facililty, 18 Strack Drive, Beacon, NY 12508 2018-01-12
1083120646 Shenay Monique Hunter Licensed Practical Nurse 5 Crossway Road, Beacon, NY 12508 2017-12-19
1144759549 Jennylyn Tangonan Escritor Licensed Practical Nurse 32 Sycamore Drive, Beacon, NY 12508 2017-06-08
1316333297 Prospect Dental, PC Clinic/Center 288th Main Street, Beacon, NY 12508 2015-04-08
1700019213 Cyril Mansperger Dentist 535 Route 52, Beacon, NY 12508 2009-08-31
1760521231 Patrick M Malouf Dc PC Chiropractor 1181 North Ave, Beacon, NY 12508 2007-02-05
1063505196 Hongli Wang Dentist 1020 Walcott Ave, Beacon, NY 12508 2006-10-02
1891705729 Jane Mcelduff Dentist 616 Route 52, Beacon, NY 12508 2006-08-09
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Taxonomy Information

Taxonomy Code 3747A0650X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Attendant Care Provider

Taxonomy Definition

An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law.
Notes: [7/1/2003: new]

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1194340950 Barbara Dore Russell Technician 43 Hillsboro Dr, Orchard Park, NY 14127-3433 2020-06-08
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1255953782 Tina Marie Loucks Technician 6294 Fulford Hill Rd, Bath, NY 14810-8156 2020-05-06
1508487240 Jacqueline Marshall Technician 144 South 2nd Avenue 2c, Mount Vernon, West Chester, NY 10550 2020-05-05
1891324240 Crystal Lynn Booth Technician 5510 Fortuna Pkwy, Clay, NY 13041-8929 2020-04-07
1366076788 Patricia Metznik Garcia Technician 1660 S Ivy Trl, Baldwinsville, NY 13027-9051 2020-02-25
1578196549 Ernesto Murray Technician 463 East 178st Apt#3b, Bronx New York, NY 10457 2020-02-19
1588204317 Jeanie L Phillips Technician 1837 Us Highway 11 Lot 34, Marathon, NY 13803-2360 2020-01-09
1568001972 William B Love Technician 2050 Frederick Douglas Blvd #2-10, New York, NY 10026-3236 2020-01-02
1851939821 Linda L Matties Technician 1246 Flynn Rd, Rochester, NY 14612-2920 2019-12-20
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Competitor

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City BEACON
Zip Code 12508

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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