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GLADYS PEAN
NPI 1659705929
Licensed Practical Nurse in Port Jefferson Station, NY

Active since August 22, 2013
1010 ROUTE 112, PORT JEFFERSON STATION, NY 11776(631) 473-1200 Get Directions Write a Review

NPPES record last updated: August 22, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gladys Pean NPPES

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

GLADYS PEAN (NPI 1659705929) is an individual licensed practical nurse in Port Jefferson Station, New York, licensed in New York (296442) and active in the NPI registry since August 2013.

NPPES Registry Identity

NPI1659705929
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameGLADYS PEAN
Location Address1010 ROUTE 112Port Jefferson Station, NY 11776-3387
Mailing Address28 Kaymac StBrentwood, NY 11717-6508
Phone(631) 473-1200
Sole ProprietorYes
Enumeration DateAugust 22, 2013
✔ NPI 1659705929 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 · 296442
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.

1010 ROUTE 112, Port Jefferson Station, NY 11776
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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.

MR. FRANK JOHN KERSHIS PT, COMT
Physical Therapist
1010 ROUTE 112, SUITE 200
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-4880
ALYSSA ANN KLEIN MPT
Physical Therapist
1010 ROUTE 112, SUITE 200
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-4880
MRS. EILEEN BORDT LPN
Licensed Practical Nurse
1010 ROUTE 112, 210
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
MRS. SUSAN MARY LAUDATO R.N.
Registered Nurse
1010 ROUTE 112, SUITE 210
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
MRS. CHRISTIANNE DELLARATTA OPTICIAN
Technician/Technologist (Optician)
1010 ROUTE 112, SUITE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-3500
PJ OPTICAL
Eyewear Supplier
1010 ROUTE 112, SUITE 300
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 476-3500
JESSICA CLASEN
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200
JENNIFER CORTES
Licensed Practical Nurse
1010 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 473-1200

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 Gladys Pean's NPI number?

The NPI number for Gladys Pean is 1659705929. It was assigned to this individual provider in the NPPES registry on August 22, 2013.

Where is Gladys Pean located?

Gladys Pean practices at 1010 Route 112, Port Jefferson Station, NY 11776. The listed phone number is (631) 473-1200.

What is Gladys Pean'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 Gladys Pean was last updated on August 22, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.