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PATRICIA ANN PENDERGAST LPN
NPI 1083106017
Licensed Practical Nurse in Selden, NY

Active since June 05, 2018
8 PINECREST PL, SELDEN, NY 11784(631) 609-7270 Get Directions Write a Review

NPPES record last updated: June 5, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Patricia Ann Pendergast Lpn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PATRICIA ANN PENDERGAST LPN (NPI 1083106017) is an individual licensed practical nurse in Selden, New York, licensed in New York (283085-1) and active in the NPI registry since June 2018.

NPPES Registry Identity

NPI1083106017
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NamePATRICIA ANN PENDERGASTCredential: LPN
Location Address8 PINECREST PLSelden, NY 11784-3516
Mailing Address8 Pinecrest PlSelden, NY 11784-3516 · (631) 609-7270
Phone(631) 609-7270
Sole ProprietorNo
Enumeration DateJune 5, 2018
✔ NPI 1083106017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 283085-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
Also ListedLicensed Vocational NurseTaxonomy 164X00000X · License 283085-1 (NY)
8 PINECREST PL, Selden, NY 11784
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Patricia Pendergast's NPI number?

The NPI number for Patricia Pendergast is 1083106017. It was assigned to this individual provider in the NPPES registry on June 5, 2018.

Where is Patricia Pendergast located?

Patricia Pendergast practices at 8 Pinecrest Pl, Selden, NY 11784. The listed phone number is (631) 609-7270.

What is Patricia Pendergast's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Patricia Pendergast was last updated on June 5, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.