Organization Active NPI

Sor Family Health Nurse Practitioner

  • Family Nurse Practitioner
  • Rockville Centre, NY
National Provider Identifier
1083484943
Registry record updated Jan 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
SOR FAMILY HEALTH NURSE PRACTITIONER
Practice address
165 N Village Ave Ste 9
Rockville Centre, NY 11570-3701
Phone
(516) 682-2350
Fax
(949) 695-2245
NPI assigned
Jan 3, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2024

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

Authorized official

Name
Shakiraye RookwoodNPI 1205430717
Title
Owner
Phone
(718) 360-3214

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

165 N Village Ave Ste 9
Rockville Centre, NY 11570-3701

Mailing address

71 E Seaman Ave
Freeport, NY 11520-1643
Phone (516) 682-2350

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1704240000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1083484943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 E SEAMAN AVE",
            "city": "FREEPORT",
            "state": "NY",
            "postal_code": "115201643",
            "telephone_number": "516-682-2350",
            "fax_number": "949-695-2245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 N VILLAGE AVE STE 9",
            "city": "ROCKVILLE CENTRE",
            "state": "NY",
            "postal_code": "115703701",
            "telephone_number": "516-682-2350",
            "fax_number": "949-695-2245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOR FAMILY HEALTH NURSE PRACTITIONER",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-03",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "ROOKWOOD",
        "authorized_official_first_name": "SHAKIRAYE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-360-3214"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville Centre, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.