SANDRA MACKINNON PERDEK NP NPI 1083648315

NPI Information

NPI: 1083648315
Provider Name: SANDRA MACKINNON PERDEK, NP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
1101 NOTT ST
SCHENECTADY, NY
ZIP 12308
Phone: (518) 243-4000
Get Directions

Sandra Mackinnon Perdek, NP is a family nurse practitioner in Schenectady, NY with 26 years of experience. Sandra Mackinnon Perdek, NP NPI is 1083648315. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1101 NOTT ST
SCHENECTADY, NY
ZIP 12308-425
Phone: (518) 243-4000

The NPI 1083648315 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 6/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	302354	NEW YORK	No
2	363LF0000X	Nurse Practitioner	Family	333880	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RA7464	MEDICARE ID-TYPE UNSPECIFIED	NEW YORK
2	000000092603	OTHER	NEW YORK	GHI-HMO
3	000490314003	OTHER	NEW YORK	BLUE SHIELD
4	7599225	OTHER	NEW YORK	GHI-PPO
5	S60984	MEDICARE UPIN	NEW YORK
6	050806000037	OTHER	NEW YORK	FIDELIS CARE
7	788114	OTHER	NEW YORK	MVP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »