MEDICARE: NEEVE MARY PERNICIARO CPNP-PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0200X	Pediatric Nurse Practitioner	F383565-01	NY

General Provider Information

NPI Number	:	1598447583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NEEVE MARY PERNICIARO CPNP-PC

Provider Business Mailing Address
First Line	:	180 RIVERSIDE BLVD APT 407
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10069-0804
Country	:	US
Telephone Number	:	631-626-4286
Fax Number	:

Provider Business Practice Location Address
First Line	:	627 LYDIG AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10462-2283
Country	:	US
Telephone Number	:	718-772-0070
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2023
Last Update Date	:	01/13/2026

Similar Medicare Providers

1740539931 — DR. NATALIYA KRIVITSKAYA M.D.
Practice Location Address:

627 LYDIG AVE , 1 FL
BRONX, NY
10462-2283

Practice Phone: 718-772-0070
Practice Fax:

1861732547 — LYDIG PEDIATRICS PC
Practice Location Address:

627 LYDIG AVE , 1 ST FLOOR
BRONX, NY
10462-2283

Practice Phone: 718-772-0070
Practice Fax: 718-709-7028

1730038837 — EDWARD SLEPIN LMSW
Practice Location Address:

1004 RHINELANDER AVE APT 1F , 1F
BRONX, NY
10462-3142

Practice Phone: 917-632-2146
Practice Fax:

1235776378 — JAILENE MARIE DIAZ RN
Practice Location Address:

5 METROPOLITAN OVAL APT 12B
BRONX, NY
10462-6527

Practice Phone: 347-698-7798
Practice Fax:

1740147594 — JESSICA ALCAIDE
Practice Location Address:

933B MORRIS PARK AVE
BRONX, NY
10462-3711

Practice Phone: 718-379-2229
Practice Fax:

1215894431 — DENEESHA COMMANDER
Practice Location Address:

1505 ARCHER RD APT 4E
BRONX, NY
10462-5851

Practice Phone: 803-236-8751
Practice Fax:

Directions to “ NEEVE MARY PERNICIARO CPNP-PC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.