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MRS. MASHIWA ROUKYIA PERCER LPN
NPI 1215293675
Licensed Practical Nurse in Medford, NY

Active since April 10, 2012
95 GRAY AVE, MEDFORD, NY 11763(631) 846-8369 Get Directions Write a Review

NPPES record last updated: April 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Mashiwa Roukyia Percer Lpn NPPES

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

MRS. MASHIWA ROUKYIA PERCER LPN (NPI 1215293675) is an individual licensed practical nurse in Medford, New York, licensed in New York (254076) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1215293675
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMRS. MASHIWA ROUKYIA PERCERCredential: LPN
Location Address95 GRAY AVEMedford, NY 11763-1037
Mailing Address95 Gray AveMedford, NY 11763-1037 · (631) 846-8369
Phone(631) 846-8369
Sole ProprietorYes
Enumeration DateApril 10, 2012
✔ NPI 1215293675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 254076
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.
95 GRAY AVE, Medford, NY 11763
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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 Mashiwa Percer's NPI number?

The NPI number for Mashiwa Percer is 1215293675. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Mashiwa Percer located?

Mashiwa Percer practices at 95 Gray Ave, Medford, NY 11763. The listed phone number is (631) 846-8369.

What is Mashiwa Percer'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 Mashiwa Percer was last updated on April 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.