Organization Active NPI

Euclid Family Health NP PLLC

  • Family Nurse Practitioner
  • Staten Island, NY
National Provider Identifier
1013604172
Registry record updated Apr 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
EUCLID FAMILY HEALTH NP PLLC
Practice address
348 Davis Ave
Staten Island, NY 10310-1548
Phone
(718) 603-9101
NPI assigned
Apr 19, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2023

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

Authorized official

Name
Juliana Tacardon, APRN
Title
Owner
Phone
(718) 603-9228

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

348 Davis Ave
Staten Island, NY 10310-1548

Mailing address

42 Euclid Ave
Matawan, NJ 07747-2405
Phone (718) 603-9101

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1681862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681862400000",
    "number": "1013604172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 EUCLID AVE",
            "city": "MATAWAN",
            "state": "NJ",
            "postal_code": "077472405",
            "telephone_number": "718-603-9101",
            "fax_number": "718-603-9228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "348 DAVIS AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103101548",
            "telephone_number": "718-603-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EUCLID FAMILY HEALTH NP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-19",
        "last_updated": "2023-04-19",
        "certification_date": "2023-04-19",
        "status": "A",
        "authorized_official_last_name": "TACARDON",
        "authorized_official_first_name": "JULIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-603-9228",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.