Individual provider Active NPI

Marieclaude Lareche Jeanty, DNP, FNP-C, FNP-BC

  • Family Nurse Practitioner
  • Freeport, NY
National Provider Identifier
1083457477
Registry record updated Nov 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
354113 Issued in NY
Practice address
334 W Merrick Rd
Freeport, NY 11520-3249
Phone
(516) 608-6777
NPI assigned
Jun 14, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2024

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 354113 NY Primary

Addresses

Primary practice location

334 W Merrick Rd
Freeport, NY 11520-3249

Mailing address

334 W Merrick Rd
Freeport, NY 11520-3249
Phone (917) 300-8307

Other names 1

  • Dr. Dr. Marieclaude Lareche Jeanty Professional name

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
I20250716000224 NY Order and Referring Only - Nurse Practitioner 8022523240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Louis Marc Charles PastSince Jun 16, 2024 Accepting new patients

Networks

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

Interoperability endpoints

  • Direct secure messaging: mlarechejeanty5453994@nychhc.direct-ci.com

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": "1718323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732579200000",
    "number": "1083457477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203249",
            "telephone_number": "917-300-8307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 W MERRICK RD",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115203249",
            "telephone_number": "516-608-6777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARECHE JEANTY",
        "first_name": "MARIECLAUDE",
        "name_prefix": "Dr.",
        "credential": "DNP, FNP-C, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-14",
        "last_updated": "2024-11-26",
        "certification_date": "2024-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "354113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DR. MARIECLAUDE",
            "last_name": "LARECHE JEANTY",
            "prefix": "DR.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Freeport, NY

Sources for this page

Verify at the official NPI Registry.