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BRANDY SHARESE PENDERGRASS
NPI 1194273292
Specialist in Rego Park, NY

Active since September 17, 2016
9777 QUEENS BLVD PH, REGO PARK, NY 11374(718) 830-9274 Get Directions Write a Review

NPPES record last updated: September 17, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brandy Sharese Pendergrass NPPES

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

BRANDY SHARESE PENDERGRASS (NPI 1194273292) is an individual specialist in Rego Park, New York and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1194273292
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameBRANDY SHARESE PENDERGRASS
Location Address9777 QUEENS BLVD PHRego Park, NY 11374-3300
Mailing Address1211 Southern Blvd, Apt. 810Bronx, NY 10459-4604 · (347) 824-9664
Phone(718) 830-9274
Sole ProprietorYes
Enumeration DateSeptember 17, 2016
✔ NPI 1194273292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

9777 QUEENS BLVD PH, Rego Park, NY 11374
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GIOVANNA E PAREDES TEACHER
Specialist
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 830-9274
MS. BRIANNE ELIZABETH REILLY
Specialist
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 702-2455
SUSANA SILES
Early Intervention Provider Agency
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 830-3705
ANDREA VASKAS
Specialist
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 830-9274
MRS. MARTHA L SUAREZ
Early Intervention Provider Agency
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 830-9274
MRS. LINDA RENAUD
Case Manager/Care Coordinator
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (347) 765-0697
NORMA VELEZ OTA
Occupational Therapist
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 830-9274
ANDREA VILLA
Specialist
9777 QUEENS BLVD PH
REGO PARK, NY 11374
Queens County (718) 830-9274

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 Brandy Pendergrass's NPI number?

The NPI number for Brandy Pendergrass is 1194273292. It was assigned to this individual provider in the NPPES registry on September 17, 2016.

Where is Brandy Pendergrass located?

Brandy Pendergrass practices at 9777 Queens Blvd Ph, Rego Park, NY 11374. The listed phone number is (718) 830-9274.

What is Brandy Pendergrass's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Brandy Pendergrass was last updated on September 17, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.