Individual provider Active NPI

Tiffany Yolanda Priester, NP

  • Family Nurse Practitioner
  • Elmont, NY
National Provider Identifier
1033695358
Registry record updated Nov 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
343109 Issued in NY
Practice address
135 Rockmart Ave
Elmont, NY 11003-1731
Phone
(516) 354-5600
NPI assigned
Jul 19, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 343109 NY Primary

Addresses

Primary practice location

135 Rockmart Ave
Elmont, NY 11003-1731

Mailing address

207 W Centennial Ave
Roosevelt, NY 11575-1928
Phone (516) 263-4264

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
I20180925001887 NY Practitioner - Nurse Practitioner 3870844202 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
343109NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Elmont Medical PC CurrentSince Jun 7, 2025 Accepting new patients
Family Health Nurse Practitioner of Elmont Professional Corporation Current Accepting new patients
Nuimage Wellness Services Inc PastSince Oct 19, 2020 Accepting new patients

Networks

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

Interoperability endpoints

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

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1531958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636848000000",
    "number": "1033695358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 W CENTENNIAL AVE",
            "city": "ROOSEVELT",
            "state": "NY",
            "postal_code": "115751928",
            "telephone_number": "516-263-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 ROCKMART AVE",
            "city": "ELMONT",
            "state": "NY",
            "postal_code": "110031731",
            "telephone_number": "516-354-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIESTER",
        "first_name": "TIFFANY",
        "middle_name": "YOLANDA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-19",
        "last_updated": "2021-11-14",
        "certification_date": "2021-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "343109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmont, NY

Sources for this page

Verify at the official NPI Registry.