Individual provider Active NPI

Sergina Jean, FNP

  • Family Nurse Practitioner
  • Franklin Square, NY
National Provider Identifier
1073936647
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
337548 Issued in NY
Practice address
674 Dogwood Ave
Franklin Square, NY 11010-3247
Phone
(631) 796-1888
NPI assigned
Feb 1, 2014
Last updated
Apr 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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 337548 NY Primary

Addresses

Primary practice location

674 Dogwood Ave
Franklin Square, NY 11010-3247

Mailing address

704 Jennings Ave
West Hempstead, NY 11552-3832
Phone (631) 796-1888

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
I20160614002289 NY Practitioner - Nurse Practitioner 2668763145 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
337548NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2019 Accepting new patients
Mount Sinai School of Medicine Clinic/Center Current Accepting new patients
Mount Sinai School of Medicine CurrentSince Oct 1, 2019 Accepting new patients
Radiance Wellness NP in Family Health PLLC Clinic/Center CurrentSince Dec 8, 2024 Accepting new patients
Elite Medical Transit Current Accepting new patients

Locations

674 Dogwood Ave
Franklin Square, NY 11010
Phone (631) 796-1888

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

10 E Merrick Rd
Ste 207
Valley Stream, NY 11580
Phone (516) 256-2017

Networks

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

Organizations & group practices 5

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": "1391212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775692800000",
    "number": "1073936647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 JENNINGS AVE",
            "city": "WEST HEMPSTEAD",
            "state": "NY",
            "postal_code": "115523832",
            "telephone_number": "631-796-1888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "674 DOGWOOD AVE",
            "city": "FRANKLIN SQUARE",
            "state": "NY",
            "postal_code": "110103247",
            "telephone_number": "631-796-1888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEAN",
        "first_name": "SERGINA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-02-01",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "337548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklin Square, NY

Sources for this page

Verify at the official NPI Registry.