Individual provider Active NPI

Maureen F Nofi, NP

  • Adult Health Nurse Practitioner
  • Medford, NY
National Provider Identifier
1083868004
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
304730 Issued in NY
Practice address
76 Southaven Ave
Suite 5
Medford, NY 11763-3745
Phone
(631) 447-8860
Fax
(631) 447-8862
NPI assigned
Nov 5, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 304730 NY Primary

Addresses

Primary practice location

76 Southaven Ave
Suite 5
Medford, NY 11763-3745

Mailing address

76 Southaven Ave
Suite 5
Medford, NY 11763-3745
Phone (631) 447-8860

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
I20121204000032 NY Practitioner - Nurse Practitioner 2365694072 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
304730NYMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
South Island Medical Care PC CurrentSince Jul 20, 2012 Accepting new patients
Samaritan Medical Services, P.C. CurrentSince Sep 27, 2025 Accepting new patients
Suffolk Home Care LLC CurrentSince Oct 13, 2019 Accepting new patients

Locations

76 Southaven Ave
Ste 5
Medford, NY 11763
Phone (631) 447-8860

2 Coraci Blvd
Ste 10
Shirley, NY 11967
Phone (631) 281-2600

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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": "1225843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1083868004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 SOUTHAVEN AVE",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633745",
            "telephone_number": "631-447-8860",
            "fax_number": "631-447-8862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 SOUTHAVEN AVE",
            "address_2": "SUITE 5",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117633745",
            "telephone_number": "631-447-8860",
            "fax_number": "631-447-8862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFI",
        "first_name": "MAUREEN",
        "middle_name": "F",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-05",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "304730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, NY

Sources for this page

Verify at the official NPI Registry.