Individual provider Active NPI

Annamaria Pepitone, FNP-C

  • Family Nurse Practitioner
  • Shirley, NY
National Provider Identifier
1003069709
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F335179-1 Issued in NY
Practice address
2 Coraci Blvd Ste 10
Shirley, NY 11967-4833
Phone
(631) 281-2600
NPI assigned
Oct 28, 2008
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X F335179-1 NY
Family Nurse Practitioner 363LF0000X F335179-1 NY Primary

Addresses

Primary practice location

2 Coraci Blvd Ste 10
Shirley, NY 11967-4833

Mailing address

7 Manhasset TRL
Ridge, NY 11961-2281
Phone (631) 745-7334

Other practice location 1

1490 William Floyd Parkway
Suite 105
Yaphank, NY 11980
Phone (631) 475-7700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090514000003 NY Practitioner - Nurse Practitioner 1153470554 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York at Stony Brook, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brookhaven Heart PLLCGroup PAC ID 6305846114, 24 clinicians

Practice addresses (Care Compare)

325 E Main St
Suite 120
Patchogue, NY 11772-3114
Phone (631) 654-3278

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
335179NYMDLicensed Practical Nurse
F335179-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kumar S Mandal MD PC CurrentSince Feb 26, 2023 Accepting new patients
Brookhaven Heart PLLC CurrentSince May 1, 2023 Accepting new patients
Suffolk Home Care LLC CurrentSince Feb 26, 2023 Accepting new patients
Scott a. Mayerberger M.D.,P.C. PastSince Sep 5, 2017 Accepting new patients

Locations

325 E Main St
Ste 120
Patchogue, NY 11772
Phone (631) 654-3278

2 Coraci Blvd
Ste 10
Shirley, NY 11967
Phone (631) 281-2600

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EEFCAA/Endpoint/EEFCAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/EGHDDD/Endpoint/EGHDDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1003069709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 MANHASSET TRL",
            "city": "RIDGE",
            "state": "NY",
            "postal_code": "119612281",
            "telephone_number": "631-745-7334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CORACI BLVD STE 10",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119674833",
            "telephone_number": "631-281-2600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1490 William Floyd Parkway",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Yaphank",
            "state": "NY",
            "postal_code": "11980",
            "country_code": "US",
            "telephone_number": "631-475-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEPITONE",
        "first_name": "ANNAMARIA",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "F335179-1",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F335179-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

Verify at the official NPI Registry.