Ms Lotis Gay Perilla Edano, APRN, NP-C is a
Nurse Practitioner - Family based in Jackson Hts, New York. Ms Lotis Gay Perilla Edano is licensed to practice in New York (license number 347651) and her current practice location is
3435 70th St, Jackson Hts, New York. She can be reached at her office (for appointments etc.) via phone at
(718) 533-0264.
NPI number for Ms Lotis Gay Perilla Edano is 1003249368 and her current mailing address is 3435 70th St, Jackson Hts, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003249368.
Provider's Profile
| Full Name | Ms Lotis Gay Perilla Edano |
|---|
| Gender | Female |
|---|
| Speciality | Nurse Practitioner - Family |
|---|
| Location | 3435 70th St, Jackson Hts, New York |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1003249368
- Provider Enumeration Date: 08/09/2013
- Last Update Date: 04/20/2026
Medical Identifiers
Medical identifiers for Ms Lotis Gay Perilla Edano such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1003249368 | NPI | - | NPPES |
| 07222544 | Medicaid | NY | |
| 836163 | Medicaid | AZ | |
| 1003249368 | Medicaid | NV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363LF0000X | Nurse Practitioner - Family | 347651 (New York) | Primary |
| 363LF0000X | Nurse Practitioner - Family | ARNP.AP.70023715-NP (Washington) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | APRN001551 (Nevada) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Lotis Gay Perilla Edano is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Lotis Gay Perilla Edano, APRN, NP-C
3435 70th St,
Jackson Hts, NY 11372-1055
Ph: (718) 651-9700 | Ms Lotis Gay Perilla Edano, APRN, NP-C
3435 70th St,
Jackson Hts, NY 11372-1055
Ph: (718) 533-0264 |
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