MS. JILLIAN ALEXA RAE PERALTA LPN
NPI 1649604190
Licensed Practical Nurse in Coram, NY

Active since September 01, 2013
48 FEDERAL LN, CORAM, NY 11727(646) 596-6128 Get Directions Write a Review

NPPES record last updated: September 1, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Jillian Alexa Rae Peralta Lpn NPPES

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

MS. JILLIAN ALEXA RAE PERALTA LPN (NPI 1649604190) is an individual licensed practical nurse in Coram, New York, licensed in New York (315188) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1649604190
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameMS. JILLIAN ALEXA RAE PERALTACredential: LPN
Location Address48 FEDERAL LNCoram, NY 11727-1618
Mailing Address48 Federal LnCoram, NY 11727-1618 · (646) 596-6128
Sole ProprietorYes
Enumeration DateSeptember 1, 2013
NPI 1649604190 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 · 315188
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.
48 FEDERAL LN, Coram, NY 11727

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 Jillian Peralta's NPI number?

The NPI number for Jillian Peralta is 1649604190. It was assigned to this individual provider in the NPPES registry on September 1, 2013.

Where is Jillian Peralta located?

Jillian Peralta practices at 48 Federal Ln, Coram, NY 11727. The listed phone number is (646) 596-6128.

What is Jillian Peralta'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 Jillian Peralta was last updated on September 1, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.