Individual provider Active NPI

Feafea Moore Peal, FNP-C

  • Family Nurse Practitioner
  • Brooklyn, NY
National Provider Identifier
1053746586
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F337511-1 Issued in NY
Practice address
153 4TH Ave
Brooklyn, NY 11217-3108
Phone
(212) 780-2378
Fax
(212) 505-0724
NPI assigned
Sep 3, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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 F337511-1 NY Primary

Addresses

Primary practice location

153 4TH Ave
Brooklyn, NY 11217-3108

Mailing address

14507 130TH Ave
Jamaica, NY 11436-2234
Phone (347) 858-2497

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
I20170420002262 NY Practitioner - Nurse Practitioner 9335464684 Reassigns benefits to 1 organization
Practice locations: Brooklyn, NY; Jamaica, NY

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
State University of New York Downstate Medical Center, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

153 4TH Ave
Brooklyn, NY 11217-3108
Phone (929) 295-8988

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F337511-1NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Feafea Moore Peal Nurse Practitioner in Family Health PLLC Family CurrentSince Apr 1, 2021 Accepting new patients

Locations

153 4th Ave
Bsmt
Brooklyn, NY 11217
Phone (347) 858-2497

153 4th Ave
Brooklyn, NY 11217
Phone (718) 230-5811

Networks

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

Interoperability endpoints

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

Organizations & group practices 1

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": "1378166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1053746586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14507 130TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114362234",
            "telephone_number": "347-858-2497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "153 4TH AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112173108",
            "telephone_number": "212-780-2378",
            "fax_number": "212-505-0724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEAL",
        "first_name": "FEAFEA",
        "middle_name": "MOORE",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-03",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F337511-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.